Family Prosthetic & Dental Implant Associates of Wyoming County, P.C.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DS027490L Issued in PA

Legal business name

FAMILY PROSTHETIC & DENTAL IMPLANT ASSOCIATES OF WYOMING COUNTY, P.C.

Practice address

161 Bridge St
Tunkhannock, PA 18657-1127

Phone

(570) 836-8942

Fax

(570) 836-9712

NPI assigned

Jan 9, 2008

Last updated

Jan 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Paul Andrews, DDS

Title

Owner

Phone

(570) 836-8942

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sare Mae Rhodes, DMD

  • General Practice Dentistry
  • Tunkhannock, PA
  • NPI 1750572996
  NPD (past)

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1225213242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 BRIDGE ST",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186571127",
            "telephone_number": "570-836-8942",
            "fax_number": "570-836-9712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 BRIDGE ST",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186571127",
            "telephone_number": "570-836-8942",
            "fax_number": "570-836-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PROSTHETIC & DENTAL IMPLANT ASSOCIATES OF WYOMING COUNTY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-836-8942",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PA",
            "license": "DS027490L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eihab Human Services
• Eihab Human Services Pennsylvania, Inc.
• Eihab Human Services, Inc.
• Embassy of Tunkhannock LLC (Embassy of Tunkhannock)
• Endless Smiles Dental Group, L.L.C.
• Michelle Christiana Fan, DO
• James Clinton Feehan, RP031430L
• Ann E. Feeney, CRNP
• Virginia Fennelly, D.C.
• Anna Marie Fink, PHARMD

• Prosthodontics in Tunkhannock, PA
• Providers in Tunkhannock, PA by specialty
• Prosthodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.