Active NPI
Salvatore J Infantino, DMD
- General Practice Dentistry
- Pittston, PA
National Provider Identifier
1548293533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS-026726-L
- Practice address
- 795 S Township Blvd
Pittston, PA 18640-3325 - Phone
- (570) 655-1400
- Fax
- (570) 655-1450
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS-026726-L | PA | Primary |
Addresses
Primary practice location
795 S Township Blvd
Pittston, PA 18640-3325
Mailing address
795 S Township Blvd
Pittston, PA 18640-3325
Phone (570) 655-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS-026726-L | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476316800000",
"number": "1548293533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "795 S TOWNSHIP BLVD",
"city": "PITTSTON",
"state": "PA",
"postal_code": "186403325",
"telephone_number": "570-655-1400",
"fax_number": "570-655-1450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 S TOWNSHIP BLVD",
"city": "PITTSTON",
"state": "PA",
"postal_code": "186403325",
"telephone_number": "570-655-1400",
"fax_number": "570-655-1450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INFANTINO",
"first_name": "SALVATORE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2016-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS-026726-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.