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NEPA DENTAL GROUP, INC
NPI 1669082632
Dentist - General Practice in Forty Fort, PA

Active since August 05, 2020
920 WYOMING AVE STE 104, FORTY FORT, PA 18704(570) 283-2422(570) 283-1492 Get Directions Write a Review

NPPES record last updated: August 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nepa Dental Group, Inc NPPES

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

NEPA DENTAL GROUP, INC (NPI 1669082632), doing business as Nepa Dental - West, is a healthcare organization registered as a general practice in Forty Fort, Pennsylvania and active in the NPI registry since August 2020. The organization lists John Albert Costello, Vice President, as its authorized official.

NPPES Registry Identity

NPI1669082632
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNEPA DENTAL GROUP, INC
Location Address920 WYOMING AVE STE 104Forty Fort, PA 18704-3970
Mailing Address457 N Main St Ste 100Pittston, PA 18640-2185 · (570) 655-7645 · Fax (570) 299-7427
Phone(570) 283-2422
Fax(570) 283-1492
Organization SubpartNo
Authorized OfficialJohn Albert CostelloVice President · (570) 655-7645
Enumeration DateAugust 5, 2020
NPPES CertifiedAugust 5, 2020
✔ NPI 1669082632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
920 WYOMING AVE STE 104, Forty Fort, PA 18704
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Other Names 1

Doing Business AsNepa Dental - West

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

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 Nepa Dental Group, Inc's NPI number?

The NPI number for Nepa Dental Group, Inc is 1669082632. It was assigned to this organization in the NPPES registry on August 5, 2020. The provider is doing business as NEPA Dental - West.

Where is Nepa Dental Group, Inc located?

Nepa Dental Group, Inc is located at 920 Wyoming Ave Ste 104, Forty Fort, PA 18704. The listed phone number is (570) 283-2422.

What is Nepa Dental Group, Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Nepa Dental Group, Inc was last updated on August 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.