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TRI-TOWN MODERN DENTAL
NPI 1649015959
Clinic/Center - Dental in Muncy, PA

Active since June 27, 2024

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tri-town Modern Dental NPPES

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

TRI-TOWN MODERN DENTAL (NPI 1649015959) is a healthcare organization registered as a dental in Muncy, Pennsylvania and active in the NPI registry since June 2024. The organization lists Ryan Michael Koch, Dentist, as its authorized official.

NPPES Registry Identity

NPI1649015959
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTRI-TOWN MODERN DENTAL
Location Address42 S MAIN STMuncy, PA 17756-1307
Mailing Address42 S Main StMuncy, PA 17756-1307 · (570) 546-3419
Phone(570) 546-3419
Organization SubpartNo
Authorized OfficialRyan Michael KochDentist · (570) 651-3559
Enumeration DateJune 27, 2024
NPPES CertifiedJune 27, 2024
✔ NPI 1649015959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
42 S MAIN ST, Muncy, PA 17756
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Other Providers at the Same Location NPPES 4

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

DR. MARY C BENNARDI D.M.D.
Dentist
42 S MAIN ST
MUNCY, PA 17756
Lycoming County (570) 546-3419
DR. THOMAS F BARBERIO D.M.D.
Dentist
42 S MAIN ST
MUNCY, PA 17756
Lycoming County (570) 546-3419
RYAN MICHAEL KOCH DMD
Dentist (General Practice)
42 S MAIN ST
MUNCY, PA 17756
Lycoming County (570) 546-3419
BENNARDI, BARBERIO, BENNARDI, PC
Dentist (General Practice)
42 S MAIN ST
MUNCY, PA 17756
Lycoming County (570) 546-3419

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 Tri-Town Modern Dental's NPI number?

The NPI number for Tri-Town Modern Dental is 1649015959. It was assigned to this organization in the NPPES registry on June 27, 2024.

Where is Tri-Town Modern Dental located?

Tri-Town Modern Dental is located at 42 S Main St, Muncy, PA 17756. The listed phone number is (570) 546-3419.

What is Tri-Town Modern Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Tri-Town Modern Dental was last updated on June 27, 2024. 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.