Gary Anthony Kopesky, D.M.D.
Individual provider Active NPI General Practice Dentistry · Hamlin, PA
NPI 1659374148 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1659374148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS031672 (PA)
- Practice address
- Route 191 Box 340
Hamlin, PA 18427 - Phone
- (570) 689-2628
- Fax
- (570) 689-3459
- NPI assigned
- May 27, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 28, 2015 through Jan 28, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS031672 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamlin Dental Center, Inc. | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS031672 | PA | Yes |
Addresses
Primary practice location
Route 191 Box 340
Hamlin, PA 18427
Mailing address
HC 1 Box 1035
Tafton, PA 18464-9701
Phone (570) 226-5322
Other providers in Hamlin, PA
- Mindy Dobroski
- Hamlin Chiropractic Center PC
- Hamlin Dental Center, Inc.
- Hamlin Fire and Rescue Company
- Craig Joseph Hendricks
- Megan D Martino
- Mark Murnin
- Optical Nei Inc
- Danielle Andre Pacyna
- Jeffrey Paone
All providers in Hamlin, PA · General Practice Dentistry in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.