# DENTAL SPECIALISTS OF NEPA

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

## Provider details

- **NPI number:** 1407216526
- **Authorized official:** DR. PAUL MANCIA (DDS)
- **Authorized official phone:** (570) 331-0824

## Contact information

- **Practice address:** 500 3RD AVE, KINGSTON, PA 18704-5810
- **Practice address phone:** (570) 331-0824
- **Practice address fax:** (570) 331-0827
- **Mailing address:** 500 3RD AVE, KINGSTON, PA 18704-5810
- **Mailing address phone:** (570) 331-0824
- **Mailing address fax:** (570) 331-0827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | DS017029L | PA | Yes |

## Other

- **Enumeration date:** 03/02/2016
- **Last updated:** 03/02/2016