# POCONO KIDS DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** POCONO MEDICAL CENTER
- **Other names:** Lehigh Valley Hospital Pocono
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164590998
- **Legal business name:** POCONO MEDICAL CENTER
- **Authorized official:** THOMAS MARCHOZZI (SR VP & CFO)
- **Authorized official phone:** (484) 862-3943

## Contact information

- **Practice address:** 175 E BROWN ST STE 114, EAST STROUDSBURG, PA 18301-3098
- **Practice address phone:** (570) 476-3506
- **Practice address fax:** (570) 421-9014
- **Mailing address:** 206 E BROWN ST, EAST STROUDSBURG, PA 18301-3006
- **Mailing address phone:** (570) 420-4938
- **Mailing address fax:** (570) 420-4948

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 03/11/2022