Organization Active NPI

Selinsgrove Dental & Dentures Inc

  • Dental Clinic/Center
  • Selinsgrove, PA
National Provider Identifier
1164913273
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on May 24, 2018

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.