DR. ANGELA C RESAVAGE D.M.D.
NPI 1700931813
Dentist - General Practice in Forty Fort, PA

Active since January 25, 2007
1590 WYOMING AVE, FORTY FORT, PA 18704(570) 288-8170(570) 718-0663 Get Directions Write a Review

NPPES record last updated: February 4, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Angela C Resavage D.m.d. NPPES

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

DR. ANGELA C RESAVAGE D.M.D. (NPI 1700931813) is an individual general practice provider in Forty Fort, Pennsylvania, licensed in Pennsylvania (DS029632L) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1700931813
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ANGELA C RESAVAGECredential: D.M.D.
Location Address1590 WYOMING AVEForty Fort, PA 18704-4226
Mailing Address1590 Wyoming AveForty Fort, PA 18704-4226 · (570) 288-8170 · Fax (570) 718-0663
Fax(570) 718-0663
Sole ProprietorYes
Enumeration DateJanuary 25, 2007
Last NPPES UpdateFebruary 4, 2013
NPI 1700931813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in PA · DS029632L
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.

1590 WYOMING AVE, Forty Fort, PA 18704

Other Identifiers 1

Medicaid0017812260002PA

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)
1590 WYOMING AVE
FORTY FORT, PA 18704
Dentist (General Practice)
1590 WYOMING AVE
FORTY FORT, PA 18704

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700931813, enumerated as an "individual" on January 25, 2007.

The provider is located at 1590 WYOMING AVE FORTY FORT, PA 18704 and the phone number is (570) 288-8170.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.