Pocono Kids Dental in East Stroudsburg - Dentist
Pocono Kids Dental - NPI 1164590998
Pocono Kids Dental is a Dentist in East Stroudsburg, Pennsylvania. Pocono Kids Dental practices all healthcare services and medical treatments related to Dentist. The NPI Number for Pocono Kids Dental is 1164590998. The last update date is 2022-03-11.
Pocono Kids Dental's current location address is 175 E Brown St Ste 114, East Stroudsburg, Pennsylvania. You can contact this provider via phone number 5704763506 and fax number 5704219014. The mailing address for Pocono Kids Dental is 175 E Brown St Ste 114, East Stroudsburg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pocono Kids Dental |
|---|---|
| Address | 175 E Brown St Ste 114, East Stroudsburg, Pennsylvania |
| Phone Number | 5704763506 |
| Fax Number | 5704219014 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR VP & CF |
|---|---|
| Authorized Official Name | Marchozzi Thomas |
| Telephone Number | 4848623943 |
NPI Number Detail
| NPI Number | 1164590998 |
|---|---|
| Provider Enumeration Date | 2006-12-01 |
| Last Updated Date | 2022-03-11 |
Provider Mailing Address Detail
| Address | 175 E Brown St Ste 114 |
|---|---|
| City | East Stroudsburg |
| State | Pennsylvania (PA) |
| Post Code | 183013098 |
| Phone Number | 5704763506 |
| Fax Number | 5704219014 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identification code assigned to Pocono Kids Dental by the Centers for Medicare & Medicaid Services?
The Pocono Kids Dental has been issued the NPI (National Provider Identifier) 1164590998. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Pocono Kids Dental's physical address?
The Pocono Kids Dental is physically located at 175 E Brown St Ste 114, in the city of East Stroudsburg, PA, with the postal code 183013098.
What is the area of specialization for Pocono Kids Dental, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pocono Kids Dental is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164590998 to Pocono Kids Dental?
The Pocono Kids Dental received its 1164590998 assignment from the Centers for Medicare & Medicaid Services on 2006-12-01.
When was the information pertaining to Pocono Kids Dental most recently updated or revised?
The details related to Pocono Kids Dental, including its address, specialty, and other relevant information, were last updated or revised on 2022-03-11.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC