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RECONSTRUCTIVE DENTISTRY, LLC
NPI 1588019095
Clinic/Center - Ambulatory Surgical in Scranton, PA

Active since May 03, 2016
327 N WASHINGTON AVE STE 609, SCRANTON, PA 18503(570) 961-6030 Get Directions Write a Review

NPPES record last updated: May 3, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Reconstructive Dentistry, Llc NPPES

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

RECONSTRUCTIVE DENTISTRY, LLC (NPI 1588019095) is a healthcare organization registered as an ambulatory surgical in Scranton, Pennsylvania and active in the NPI registry since May 2016. The organization lists David Hazzouri, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1588019095
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameRECONSTRUCTIVE DENTISTRY, LLC
Location Address327 N WASHINGTON AVE STE 609Scranton, PA 18503-1539
Mailing Address327 N Washington Ave Ste 609Scranton, PA 18503-1539
Phone(570) 961-6030
Organization SubpartNo
Authorized OfficialDavid HazzouriMedical Director · (570) 961-6030
Enumeration DateMay 3, 2016
✔ NPI 1588019095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in PA · 112193
327 N WASHINGTON AVE STE 609, Scranton, PA 18503
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Other Identifiers 1

Other#112193PA · Accreditation Association For Ambulatory Health Care, Inc. #112193

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 Reconstructive Dentistry, LLC's NPI number?

The NPI number for Reconstructive Dentistry, LLC is 1588019095. It was assigned to this organization in the NPPES registry on May 3, 2016.

Where is Reconstructive Dentistry, LLC located?

Reconstructive Dentistry, LLC is located at 327 N Washington Ave Ste 609, Scranton, PA 18503. The listed phone number is (570) 961-6030.

What is Reconstructive Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Reconstructive Dentistry, LLC was last updated on May 3, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.