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BACK MOUNTAIN PEDIATRIC DENTISTRY
NPI 1013789452
Dentist - Pediatric Dentistry in Dallas, PA

Active since October 30, 2023
3784 YALICK PLZ UNIT 1, DALLAS, PA 18612(570) 456-5566 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Back Mountain Pediatric Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BACK MOUNTAIN PEDIATRIC DENTISTRY (NPI 1013789452) is a healthcare organization registered as a pediatric dentistry in Dallas, Pennsylvania and active in the NPI registry since October 2023. The organization lists Jessica Marie Pizano, Owner Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1013789452
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameBACK MOUNTAIN PEDIATRIC DENTISTRY
Location Address3784 YALICK PLZ UNIT 1Dallas, PA 18612-7719
Mailing Address126 Seneca DrOld Forge, PA 18518-1598 · (570) 885-9531
Phone(570) 456-5566
Organization SubpartNo
Authorized OfficialJessica Marie PizanoOwner Pediatric Dentist · (570) 885-9531
Enumeration DateOctober 30, 2023
NPPES CertifiedOctober 28, 2023
✔ NPI 1013789452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3784 YALICK PLZ UNIT 1, Dallas, PA 18612
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JESSICA MARIE PIZANO DMD, MS
Dentist (Pediatric Dentistry)
3784 YALICK PLZ UNIT 1
DALLAS, PA 18612
Luzerne County (570) 456-5566

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Back Mountain Pediatric Dentistry's NPI number?

The NPI number for Back Mountain Pediatric Dentistry is 1013789452. It was assigned to this organization in the NPPES registry on October 30, 2023.

Where is Back Mountain Pediatric Dentistry located?

Back Mountain Pediatric Dentistry is located at 3784 Yalick Plz Unit 1, Dallas, PA 18612. The listed phone number is (570) 456-5566.

What is Back Mountain Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Back Mountain Pediatric Dentistry was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.