NPIMap

Organization Active NPI

Dr Mary Grace Rizzo-Fryzel Dental Group PLLC

  • Dentist
  • Archbald, PA
National Provider Identifier
1548078843
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DR MARY GRACE RIZZO-FRYZEL DENTAL GROUP PLLC
Practice address
119 S Main St
Archbald, PA 18403-1725
Phone
(570) 878-9959
NPI assigned
Dec 19, 2024
Last updated
Dec 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Authorized official

Name
Dr. Mary Grace Rizzo-Fryzel, DMD
Title
Owner
Phone
(570) 878-9959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

119 S Main St
Archbald, PA 18403-1725

Mailing address

300 Lackawanna Ave Unit 107
Scranton, PA 18503-2001
Phone (570) 878-9959

Other names 1

  • 119 Main St Other name

National Provider Directory

National Provider Directory
Tax ID family
119 Main St3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

119 S Main St
Archbald, PA 18403
Phone (570) 876-6722

NPI Registry JSON

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1548078843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LACKAWANNA AVE UNIT 107",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185032001",
            "telephone_number": "570-878-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S MAIN ST",
            "city": "ARCHBALD",
            "state": "PA",
            "postal_code": "184031725",
            "telephone_number": "570-878-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MARY GRACE RIZZO-FRYZEL DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "RIZZO-FRYZEL",
        "authorized_official_first_name": "MARY GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-878-9959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "119 Main St",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Archbald, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.