Northern Country Dental

Primary specialty

DentistTaxonomy code 122300000X

License

DS029789L Issued in PA

Legal business name

NORTHERN COUNTRY DENTAL

Practice address

30 E Tioga St
Tunkhannock, PA 18657-1506

Phone

(570) 836-7050

Fax

(570) 836-7930

NPI assigned

Jan 7, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Judge

Title

President

Phone

(570) 836-7050

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.

• Chris T Kalna, DMD

  • General Practice Dentistry
  • Tunkhannock, PA
  • NPI 1053510750
  NPD (past)

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1457773681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E TIOGA ST",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186571506",
            "telephone_number": "570-836-7050",
            "fax_number": "570-836-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E TIOGA ST",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186571506",
            "telephone_number": "570-836-7050",
            "fax_number": "570-836-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN COUNTRY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "JUDGE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-836-7050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS029789L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Munley, LSW
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• Michael M O'Hara, R.PH.
• Kaitlin Elizabeth O'Sullivan
• Optical Nei Inc
• Darlene Orlandini, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.