Organization Active NPI

Scott and Clements Dentisty Inc

  • General Practice Dentistry
  • Dallas, PA
National Provider Identifier
1841320769
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS018822L Issued in PA
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.