# TIOGA DENTAL SERVICES

> 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:** 1255664819
- **Authorized official:** DR. ALICIA ANNE RISNER-BAUMAN DDS, FADPD (DENTAL CLINIC DIRECTOR)
- **Authorized official phone:** (570) 827-0145

## Contact information

- **Practice address:** 34 E LAWRENCE RD, LAWRENCEVILLE, PA 16929-8801
- **Practice address phone:** (570) 724-9145
- **Practice address fax:** (570) 724-5397
- **Mailing address:** 34 E LAWRENCE RD, LAWRENCEVILLE, PA 16929-8801
- **Mailing address phone:** (570) 724-9145
- **Mailing address fax:** (570) 724-5397

## Taxonomy

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

## Other

- **Enumeration date:** 09/15/2009
- **Last updated:** 06/08/2015