Timothy Mark Opiel Dentistry LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DS038284 Issued in PA

Legal business name

TIMOTHY MARK OPIEL DENTISTRY LLC

Doing business as

Pittston Dental Center

Practice address

34 S Main St
Pittston, PA 18640-1827

Phone

(570) 654-2484

Fax

(570) 654-4867

NPI assigned

Feb 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Mark Opiel, DMD

Title

Owner

Phone

(570) 654-2484

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pittston Dental Center Doing business as

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1720479637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 S MAIN ST",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186401827",
            "telephone_number": "570-654-2484",
            "fax_number": "570-654-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 S MAIN ST",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186401827",
            "telephone_number": "570-654-2484",
            "fax_number": "570-654-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY MARK OPIEL DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "OPIEL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-654-2484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS038284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025160190002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pittston Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Pittston, PA
• Providers in Pittston, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.