| Samuel M Prisco Dds | |
|
1122 Meade St Dunmore PA 18512-3169 | |
| (570) 348-0941 | |
| (570) 347-3050 |
| Full Name | Samuel M Prisco Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1122 Meade St, Dunmore, Pennsylvania |
| Authorized Official Name and Position | Samuel M Prisco (OWNER) |
| Authorized Official Contact | 5703480941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel M Prisco Dds 1122 Meade St Dunmore PA 18512-3169 Ph: (570) 348-0941 | Samuel M Prisco Dds 1122 Meade St Dunmore PA 18512-3169 Ph: (570) 348-0941 |
| NPI Number | 1326179615 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 07/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326179615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |