Genco Dental Care, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS030379L Issued in PA

Legal business name

GENCO DENTAL CARE, PC

Practice address

518 Main St
Forest City, PA 18421-1498

Phone

(570) 785-9500

NPI assigned

Apr 18, 2011

Last updated

Apr 18, 2011By 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. Gerard T Genco, D.M.D.

Title

Owner

Phone

(570) 785-9500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1376833855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 MAIN ST",
            "city": "FOREST CITY",
            "state": "PA",
            "postal_code": "184211498",
            "telephone_number": "570-785-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 MAIN ST",
            "city": "FOREST CITY",
            "state": "PA",
            "postal_code": "184211498",
            "telephone_number": "570-785-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENCO DENTAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-18",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "GENCO",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-785-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS030379L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forest City Area Emergency Services Inc
• Forest City Area Volunteer Ambulance Association
• Forest City Care Continuum LLC
• Forest City Center for Nursing and Rehabilitation LLC
• Forest City Regional School District
• Ashley Genello, DPT
• Cynthia Marie Gentile
• Alissa Lynn Glezen, OTR/L
• Christopher Michael Granville, MD
• Kimberly A Gregorowicz, PT

• General Practice Dentistry in Forest City, PA
• Providers in Forest City, 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 Apr 18, 2011; 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.