Martin James Bifano, D.D.S.
Individual provider Active NPI General Practice Dentistry · Simpson, PA
NPI 1679522759 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1679522759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS023163L (PA)
- Practice address
- 957 Main St
Simpson, PA 18407-1243 - Phone
- (570) 282-1387
- Fax
- (570) 281-6188
- NPI assigned
- May 8, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150901001006 | PA | Order and Referring Only - Other (Physician) |
6507172855 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS023163L | PA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS023163L | PA | Yes |
Addresses
Primary practice location
957 Main St
Simpson, PA 18407-1243
Mailing address
957 Main St
Simpson, PA 18407-1243
Phone (570) 282-1387
Other providers in Simpson, PA
All providers in Simpson, 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.