Organization Active NPI

Endless Smiles Dental Group, L.L.C.

  • General Practice Dentistry
  • Tunkhannock, PA
National Provider Identifier
1174605752
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ENDLESS SMILES DENTAL GROUP, L.L.C.
Practice address
164 W Tioga St
Tunkhannock, PA 18657-1466
Phone
(570) 836-6362
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Frederick C. Lally, D.D.S.NPI 1275676488
Title
Owner
Phone
(570) 836-6362

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X PA Primary

Addresses

Primary practice location

164 W Tioga St
Tunkhannock, PA 18657-1466

Mailing address

164 W Tioga St
Tunkhannock, PA 18657-1466
Phone (570) 836-6362

National Provider Directory

National Provider Directory

Locations

164 W Tioga St
Tunkhannock, PA 18657
Phone (570) 836-6362

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1174605752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 W TIOGA ST",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186571466",
            "telephone_number": "570-836-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 W TIOGA ST",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186571466",
            "telephone_number": "570-836-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDLESS SMILES DENTAL GROUP, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "LALLY",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-836-6362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tunkhannock, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.