NPIMap

Organization Active NPI

Valley Oral & Maxillofacial Surgery PC

  • Oral and Maxillofacial Pathology Dentistry
  • Scranton, PA
National Provider Identifier
1811026065
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
DS017472L Issued in PA
Legal business name
VALLEY ORAL & MAXILLOFACIAL SURGERY PC
Practice address
401 Adams Ave
Suite 100
Scranton, PA 18510-2025
Phone
(570) 346-7301
Fax
(570) 346-7575
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Albert Francis Giallorenzi, DMDNPI 1972555951
Title
Sr Partner
Phone
(570) 346-7301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0106X DS017472L PA Primary

Addresses

Primary practice location

401 Adams Ave
Suite 100
Scranton, PA 18510-2025

Mailing address

401 Adams Ave
Suite 100
Scranton, PA 18510-2025
Phone (570) 346-7301

Other names 1

  • stavisky & giallorenzi pc Former legal business name

National Provider Directory

National Provider Directory

Locations

401 Adams Ave
Ste 100
Scranton, PA 18510
Phone (570) 346-7301

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1811026065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ADAMS AVE",
            "address_2": "SUITE 100",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185102025",
            "telephone_number": "570-346-7301",
            "fax_number": "570-346-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ADAMS AVE",
            "address_2": "SUITE 100",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185102025",
            "telephone_number": "570-346-7301",
            "fax_number": "570-346-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY ORAL & MAXILLOFACIAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "GIALLORENZI",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "SR PARTNER",
        "authorized_official_telephone_number": "570-346-7301",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "PA",
            "license": "DS017472L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "stavisky & giallorenzi pc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Mar 13, 2008; 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.