Pacifico Dental Care of Forks

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PACIFICO DENTAL CARE OF FORKS

Practice address

2202 Sullivan Trail
Easton, PA 18040

Phone

(484) 695-8790

NPI assigned

Nov 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Lauren Pacifico, DDS

Title

Dentist, Owner

Phone

(610) 810-3511

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Knauss, DDS

  • Dentist
  • Easton, PA
  • NPI 1205610748
  NPD (past)
• Daniel John Lesney

  • Dentist
  • Bangor, PA
  • NPI 1568192235
  NPD (past)
• Robert Dan Spielman, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Easton, PA
  • NPI 1558047787
  NPD (past)

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1689188807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 SULLIVAN TRAIL",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "18040",
            "telephone_number": "610-810-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 SULLIVAN TRAIL",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "18040",
            "telephone_number": "484-695-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICO DENTAL CARE OF FORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "PACIFICO",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "DENTIST, OWNER",
        "authorized_official_telephone_number": "610-810-3511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Oyer, COTA
• Michele Marie Ozgar, PT
• P.Boonswang MD
• PA Memory and Behavioral Care LLC
• Pace Foot and Ankle Centers PLLC
• Marilyn Padilla
• Nichole Padron
• Branten Jacob Page, DO
• Donna Lynn Paglia, OT/L
• Robin Painter, LMT

• Dental Clinic/Center in Easton, PA
• Providers in Easton, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.