Dental Associates of Nepa PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS028210L Issued in PA

Legal business name

DENTAL ASSOCIATES OF NEPA PC

Practice address

360 Kidder Street
Suite 5
Wilkes Barre, PA 18702

Phone

(570) 822-4065

Fax

(570) 820-9836

NPI assigned

Jun 28, 2018

Last updated

Jun 28, 2018By 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

Nancy Elizabeth Snyder

Title

Accounts Payable

Phone

(570) 822-4065

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1295220648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 KIDDER ST STE 5",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187025619",
            "telephone_number": "570-822-4065",
            "fax_number": "570-820-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 KIDDER STREET",
            "address_2": "SUITE 5",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "18702",
            "telephone_number": "570-822-4065",
            "fax_number": "570-820-9836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF NEPA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "ACCOUNTS PAYABLE",
        "authorized_official_telephone_number": "570-822-4065"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS028210L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Joan Denicola
• Cheryl Marie Denisco, PHARM D
• Nichol R Denison, PA-C
• Abby Dennebaum, M.S.
• Jennifer Denofa, MSW
• Department of Veterans Affairs Medical Center
• Caroline F Derichemond, CRNP
• Dermdox WB PC
• Leah Deroche, PHARMD
• Hydie Marie Derojas

• General Practice Dentistry in Wilkes Barre, PA
• Providers in Wilkes Barre, 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 Jun 28, 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.