NPIMap

Organization Active NPI

Susquehanna River Valley Dental Health Clinic

  • Dentist
  • Sunbury, PA
National Provider Identifier
1356677868
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SUSQUEHANNA RIVER VALLEY DENTAL HEALTH CLINIC
Practice address
335 Market St
Suite One
Sunbury, PA 17801-3411
Phone
(570) 286-7500
Fax
(570) 286-1524
NPI assigned
Oct 19, 2009
Last updated
Oct 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Authorized official

Name
Dr. Phil Sosland, DDS
Title
Chairman Board of Directors
Phone
(570) 524-2729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

335 Market St
Suite One
Sunbury, PA 17801-3411

Mailing address

335 Market St
Suite One
Sunbury, PA 17801-3411
Phone (570) 286-7500

National Provider Directory

National Provider Directory

Locations

335 Market St
Ste 1
Sunbury, PA 17801
Phone (570) 286-7500

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1356677868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 MARKET ST",
            "address_2": "SUITE ONE",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178013411",
            "telephone_number": "570-286-7500",
            "fax_number": "570-286-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 MARKET ST",
            "address_2": "SUITE ONE",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178013411",
            "telephone_number": "570-286-7500",
            "fax_number": "570-286-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSQUEHANNA RIVER VALLEY DENTAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "SOSLAND",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "CHAIRMAN BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "570-524-2729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunbury, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.