| Casey Dental Institute P.c. | |
|
1120 Oak St Pittston Township PA 18640-3770 | |
| (570) 654-4141 | |
| (570) 654-2150 |
| Full Name | Casey Dental Institute P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1120 Oak St, Pittston Township, Pennsylvania |
| Authorized Official Name and Position | Shawn Michael Joseph Casey (PRESIDENT) |
| Authorized Official Contact | 5706544141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casey Dental Institute P.c. 1120 Oak St Pittston Township PA 18640-3770 Ph: (570) 654-4141 | Casey Dental Institute P.c. 1120 Oak St Pittston Township PA 18640-3770 Ph: (570) 654-4141 |
| NPI Number | 1417192725 |
|---|---|
| Provider Enumeration Date | 12/16/2008 |
| Last Update Date | 12/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417192725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS035398 (Pennsylvania) | Secondary |
| 1223G0001X | Dentist - General Practice | DS028971L (Pennsylvania) | Primary |