JC Century Dental Scranton LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JC CENTURY DENTAL SCRANTON LLC

Doing business as

JC Century Dental Scranton LLC

Practice address

205 N Main Ave
Scranton, PA 18504-3303

Phone

(570) 876-4488

Fax

(570) 507-9509

NPI assigned

Oct 12, 2018

Organization subpart

No

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

Authorized official

Name

Nicole Haddix

Title

Office Manager

Phone

(570) 876-4488

Specialties & licenses 1

Addresses

Other names 1

• JC Century Dental Scranton LLC Doing business as

Locations

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1467927806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N MAIN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185043303",
            "telephone_number": "570-876-4488",
            "fax_number": "570-507-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N MAIN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185043303",
            "telephone_number": "570-876-4488",
            "fax_number": "570-507-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC CENTURY DENTAL SCRANTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-12",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "HADDIX",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "570-876-4488"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JC Century Dental Scranton LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evan Rahman Jason, DPM
• Sumiya Jatoi, MBBS
• Muhammad Bilal Javaid, M.D.
• Sandra R. Jayne, RN, MSN, ANP
• JC Century Dental SCR II, LLC
• Valerie Jean
• Shabban Jehangir
• Ann Marie Jennings, RN
• Kathleen Jennings, COTA
• Jewish Family Service of Northeastern Pennsylvania

• General Practice Dentistry in Scranton, PA
• Providers in Scranton, 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 Oct 12, 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.