Dental Health Care Centre PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS029539L Issued in PA

Legal business name

DENTAL HEALTH CARE CENTRE PC

Practice address

920 State Route 6 West
Tunkhannock, PA 18657

Phone

(570) 836-2808

Fax

(570) 836-6180

NPI assigned

Oct 24, 2006

Last updated

Feb 27, 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

Dr. Christopher G. Bereznak, DMD

Title

President

Phone

(570) 836-2808

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1275617516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 SR 6W",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "18657",
            "telephone_number": "570-836-2808",
            "fax_number": "570-836-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 STATE ROUTE 6 WEST",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "18657",
            "telephone_number": "570-836-2808",
            "fax_number": "570-836-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH CARE CENTRE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "BEREZNAK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-836-2808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS029539L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016874580003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Lynn Curtis
• Carol Daniels
• Daosmiles LLC (Endless Smiles Dental Group)
• Davis C Haire
• Davis C. Haire, OD
• Sara Beth Dixon, RN BSN
• Rachel Holly Doty, CRNP
• Lea Dougherty
• Amy Driscoll
• Diane Eastman, CNP

• General Practice Dentistry in Tunkhannock, PA
• Providers in Tunkhannock, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.