Back Mountain Pediatric Dentistry

LBN: Back Mountain Pediatric Dentistry
Back Mountain Pediatric Dentistry is an health care organization with primary practice located at 3784 Yalick Plz Unit 1 , Dallas PA 18612-7719. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Back Mountain Pediatric Dentistry can be contacted via phone (570) 456-5566, or through Pizano, Jessica Marie via phone (570) 885-9531.

Contact Information

Primary practice address
3784 Yalick Plz Unit 1 Dallas PA 18612-7719
Fax:
Website:
Authorized official contact:
Name: Pizano, Jessica Marie DMD, MS

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1013789452
LBN Legal business name Back Mountain Pediatric Dentistry
DBA Doing business as
Authorized official Pizano, Jessica Marie DMD, MS
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2023
Last updated Oct 30th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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