Active NPI
Selinsgrove Dental & Dentures Inc
- Dental Clinic/Center
- Selinsgrove, PA
National Provider Identifier
1164913273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- SELINSGROVE DENTAL & DENTURES INC
- Practice address
- 2192 North Susquehanna Trail
Suite 200
Selinsgrove, PA 17831 - Phone
- (570) 743-8000
- NPI assigned
- May 24, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Douglas Closinski
- Title
- Vice President/ Member
- Phone
- (518) 376-6328
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
2192 North Susquehanna Trail
Suite 200
Selinsgrove, PA 17831
Mailing address
111 Homeport Dr
Palm Harbor, FL 34683-5410
Phone (716) 954-0141
National Provider Directory
National Provider DirectoryLocations
2192 N Susquehanna Trl
Ste 200
Selinsgrove, PA 17870
Phone (570) 743-8000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1527120000000",
"number": "1164913273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 HOMEPORT DR",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346835410",
"telephone_number": "716-954-0141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2192 NORTH SUSQUEHANNA TRAIL",
"address_2": "SUITE 200",
"city": "SELINSGROVE",
"state": "PA",
"postal_code": "17831",
"telephone_number": "570-743-8000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELINSGROVE DENTAL & DENTURES INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-24",
"last_updated": "2018-05-24",
"status": "A",
"authorized_official_last_name": "CLOSINSKI",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_title_or_position": "VICE PRESIDENT/ MEMBER",
"authorized_official_telephone_number": "518-376-6328"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Selinsgrove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.