FREDERICK C. LALLY D.D.S,
NPI 1275676488
Dentist in Tunkhannock, PA

Active since February 15, 2007PECOS Enrolled
164 W TIOGA ST, TUNKHANNOCK, PA 18657(570) 836-6362 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Frederick C. Lally D.d.s, NPPES

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

FREDERICK C. LALLY D.D.S, (NPI 1275676488) is an individual dentist in Tunkhannock, Pennsylvania, licensed in Pennsylvania (DS020916-L) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275676488
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameFREDERICK C. LALLYCredential: D.D.S,
Location Address164 W TIOGA STTunkhannock, PA 18657-1466
Mailing Address164 W Tioga StTunkhannock, PA 18657-1466 · (570) 836-6362
Sole ProprietorNo
Enumeration DateFebruary 15, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1275676488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in PA · DS020916-L
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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
164 W TIOGA ST, Tunkhannock, PA 18657

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Frederick C. Lally D.d.s, is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18657 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
164 W TIOGA ST
TUNKHANNOCK, PA 18657
Dentist (General Practice)
164 W TIOGA ST
TUNKHANNOCK, PA 18657

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 Frederick Lally's NPI number?

The NPI number for Frederick Lally is 1275676488. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Frederick Lally located?

Frederick Lally practices at 164 W Tioga St, Tunkhannock, PA 18657. The listed phone number is (570) 836-6362.

What is Frederick Lally's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Frederick Lally enrolled in Medicare?

Yes. Frederick Lally is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Frederick Lally was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.