Organization Active NPI

Pocono Oral Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Honesdale, PA
National Provider Identifier
1194963900
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS035287 Issued in PA
Legal business name
POCONO ORAL SURGERY PC
Practice address
1095 Texas Palmyra Hwy
Honesdale, PA 18431-7687
Phone
(570) 253-4000
Fax
(570) 253-8977
NPI assigned
Feb 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Dr. Michael Scott Monto, DMD,MD
Title
President
Phone
(570) 253-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DS035287 PA Primary

Addresses

Primary practice location

1095 Texas Palmyra Hwy
Honesdale, PA 18431-7687

Mailing address

1095 Texas Palmyra Hwy
Honesdale, PA 18431-7687
Phone (570) 253-4000

National Provider Directory

National Provider Directory

Locations

1095 Texas Palmyra Hwy
Honesdale, PA 18431
Phone (570) 253-4000

NPI Registry JSON

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1194963900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 TEXAS PALMYRA HWY",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184317687",
            "telephone_number": "570-253-4000",
            "fax_number": "570-253-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 TEXAS PALMYRA HWY",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184317687",
            "telephone_number": "570-253-4000",
            "fax_number": "570-253-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCONO ORAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "MONTO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-253-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD,MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS035287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honesdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.