Active NPI
Scott and Clements Dentisty Inc
- General Practice Dentistry
- Dallas, PA
National Provider Identifier
1841320769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS018822L
- Legal business name
- SCOTT AND CLEMENTS DENTISTY INC
- Practice address
- 30 Foster St
Dallas, PA 18612-1111 - Phone
- (570) 675-4321
- Fax
- (570) 675-4668
- NPI assigned
- Mar 7, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cheryl Ann Ryczak
- Title
- Front Desk
- Phone
- (570) 675-4321
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS018822L | PA | Primary |
Addresses
Primary practice location
30 Foster St
Dallas, PA 18612-1111
Mailing address
30 Foster St
Dallas, PA 18612-1111
Phone (570) 675-4321
National Provider Directory
National Provider DirectoryLocations
30 Foster St
Dallas, PA 18612
Phone (570) 675-4321
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- General Practice Dentistry
- Dallas, PA
- NPI 1821018599
-
- General Practice Dentistry
- Dallas, PA
- NPI 1598842361
-
- Dentist
- Dallas, PA
- NPI 1083909709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1841320769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 FOSTER ST",
"city": "DALLAS",
"state": "PA",
"postal_code": "186121111",
"telephone_number": "570-675-4321",
"fax_number": "570-675-4668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 FOSTER ST",
"city": "DALLAS",
"state": "PA",
"postal_code": "186121111",
"telephone_number": "570-675-4321",
"fax_number": "570-675-4668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT AND CLEMENTS DENTISTY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RYCZAK",
"authorized_official_first_name": "CHERYL",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "FRONT DESK",
"authorized_official_telephone_number": "570-675-4321",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS018822L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.