Organization Active NPI

Horizon Dental Care at Stroud LLC

  • General Practice Dentistry
  • Stroudsburg, PA
National Provider Identifier
1548095979
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HORIZON DENTAL CARE AT STROUD LLC
Practice address
3509 Heller Dr
Stroudsburg, PA 18360-7460
Phone
(570) 424-6607
NPI assigned
Sep 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Jennifer Josselyn
Title
RCM
Phone
(570) 541-4144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3509 Heller Dr
Stroudsburg, PA 18360-7460

Mailing address

400 Wyoming Ave Ste 300
Scranton, PA 18503-1238
Phone (570) 541-4144

National Provider Directory

National Provider Directory

Locations

3509 Heller Dr
Stroudsburg, PA 18360
Phone (570) 424-6607

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1548095979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WYOMING AVE STE 300",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031238",
            "telephone_number": "570-541-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 HELLER DR",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183607460",
            "telephone_number": "570-424-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON DENTAL CARE AT STROUD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "JOSSELYN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "RCM",
        "authorized_official_telephone_number": "570-541-4144"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.