# BERWICK DENTAL ARTS INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104906650
- **Authorized official:** JOHN E DEFINNIS DDS (PRESIDENT)
- **Authorized official phone:** (570) 752-4542

## Contact information

- **Practice address:** 105 W 9TH ST, BERWICK, PA 18603-3024
- **Practice address phone:** (570) 752-4542
- **Practice address fax:** (570) 752-6806
- **Mailing address:** 105 W 9TH ST, BERWICK, PA 18603-3024
- **Mailing address phone:** (570) 752-4542
- **Mailing address fax:** (570) 752-6806

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0005214830001 | — | PA |
| 01 | — | 187826 | UNITED CONCORDIA | PA |