S4K Hazleton, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

S4K HAZLETON, LLC

Practice address

98 S Church St
Hazleton, PA 18201-6266

Phone

(570) 599-8140

NPI assigned

Oct 12, 2021

Organization subpart

No

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

Authorized official

Name

Michael E Skolnick, DMD

Title

President

Phone

(973) 715-5963

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1982366423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 S CHURCH ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016266",
            "telephone_number": "570-599-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 S CHURCH ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016266",
            "telephone_number": "570-599-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S4K HAZLETON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "SKOLNICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-715-5963",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George J. Rucco Jr., CRNA
• Jennifer Ruch, CNM
• Rural Health Corporation of Northeastern Pennsylvania
• Jon Russell, R.PH.
• Sophia Rynkiewicz, PHARM. D
• Sacco Chiropractic PC
• Scott Anthony Sacco, D.C.
• Zohra Gulnar Salahuddin, MD
• Melinda Sando, ATC
• Stacie L Sando, DC

• Pediatric Dentistry in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.