# CASEY DENTAL INSTITUTE P.C.

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

## Provider details

- **NPI number:** 1417192725
- **Authorized official:** DR. SHAWN MICHAEL JOSEPH CASEY D.M.D. (PRESIDENT)
- **Authorized official phone:** (570) 654-4141

## Contact information

- **Practice address:** 1120 OAK ST, PITTSTON TOWNSHIP, PA 18640-3770
- **Practice address phone:** (570) 654-4141
- **Practice address fax:** (570) 654-2150
- **Mailing address:** 1120 OAK ST, PITTSTON TOWNSHIP, PA 18640-3770
- **Mailing address phone:** (570) 654-4141
- **Mailing address fax:** (570) 654-2150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS028971L | PA | Yes |
| 1223G0001X | General Practice Dentistry | DS035398 | PA | — |

## Other

- **Enumeration date:** 12/16/2008
- **Last updated:** 12/16/2008