Nepa Dental Group, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NEPA DENTAL GROUP, INC

Doing business as

NEPA Dental - West

Practice address

920 Wyoming Ave Ste 104
Forty Fort, PA 18704-3970

Phone

(570) 283-2422

Fax

(570) 283-1492

NPI assigned

Aug 5, 2020

Last updated

Aug 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Albert Costello, DMD

Title

Vice President

Phone

(570) 655-7645

Specialties & licenses 1

Addresses

Other names 1

• NEPA Dental - West Doing business as

Locations

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.

• Eric Frusciante, D.M.D.

  • Dentist
  • Forty Fort, PA
  • NPI 1265837751
  NPD (past)
• Robert A Kester, DDS

  • Dentist
  • Kingston, PA
  • NPI 1629170071
  NPD (past)

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1669082632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 N MAIN ST STE 100",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186402185",
            "telephone_number": "570-655-7645",
            "fax_number": "570-299-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 WYOMING AVE STE 104",
            "city": "FORTY FORT",
            "state": "PA",
            "postal_code": "187043970",
            "telephone_number": "570-283-2422",
            "fax_number": "570-283-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPA DENTAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "570-655-7645",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEPA Dental - West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Mikovitch, CRNP
• Julie Miller, MS., CCC-SLP
• Move2Perform LLC
• Maria E. Murphy, RD, LDN
• Charles Joseph Musto, DMD
• Nepa Homecare Inc (Visiting Angels)
• Northeastern Surgical Specialty Group Inc
• Thomas Allen Olaviany, DPM
• Radu I Pacurariu, MD
• Noelle Monique Parker

• General Practice Dentistry in Forty Fort, PA
• Providers in Forty Fort, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.