Organization Active NPI

North East Dental Associates

  • General Practice Dentistry
  • North East, PA
National Provider Identifier
1649164773
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NORTH EAST DENTAL ASSOCIATES
Practice address
90 E Main St
North East, PA 16428-1319
Phone
(814) 725-4700
Fax
(814) 725-3953
NPI assigned
Jun 4, 2025
Last updated
Jun 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Shannon Strong
Title
Admin
Phone
(814) 725-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

90 E Main St
North East, PA 16428-1319

Mailing address

90 E Main St
North East, PA 16428-1319
Phone (814) 725-4700

National Provider Directory

National Provider Directory

Locations

90 E Main St
North East, PA 16428
Phone (814) 725-4700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1649164773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 E MAIN ST",
            "city": "NORTH EAST",
            "state": "PA",
            "postal_code": "164281319",
            "telephone_number": "814-725-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 E MAIN ST",
            "city": "NORTH EAST",
            "state": "PA",
            "postal_code": "164281319",
            "telephone_number": "814-725-4700",
            "fax_number": "814-725-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH EAST DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "STRONG",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "814-725-4700"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North East, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.