NPIMap

Organization Active NPI

Century Dental GR LLC

  • General Practice Dentistry
  • Scranton, PA
National Provider Identifier
1770355380
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CENTURY DENTAL GR LLC
Practice address
1821 Sanderson Ave
Scranton, PA 18509-1854
Phone
(570) 346-2244
NPI assigned
Oct 26, 2023
Last updated
Oct 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Corey Chmil, DMD
Title
Treating Provider/Owner
Phone
(570) 876-4488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1821 Sanderson Ave
Scranton, PA 18509-1854

Mailing address

696 Scranton Carbondale Hwy
Eynon, PA 18403-1004
Phone (570) 876-4488

National Provider Directory

National Provider Directory

Locations

696 Scranton Carbondale Hwy
Eynon, PA 18403
Phone (570) 876-4488

1821 Sanderson Ave
Scranton, PA 18509
Phone (570) 346-2244

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1770355380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 SCRANTON CARBONDALE HWY",
            "city": "EYNON",
            "state": "PA",
            "postal_code": "184031004",
            "telephone_number": "570-876-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 SANDERSON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185091854",
            "telephone_number": "570-346-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY DENTAL GR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "CHMIL",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "TREATING PROVIDER/OWNER",
        "authorized_official_telephone_number": "570-876-4488",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.