# ANTHONY D KUPRIONAS DDS PC

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

## Provider details

- **NPI number:** 1639349715
- **Authorized official:** DR. ANTHONY D KUPRIONAS DDS (DENTIST OWNER)
- **Authorized official phone:** (570) 822-4140

## Contact information

- **Practice address:** 24 N MAIN STREET, WILKES BARRE, PA 18701-2603
- **Practice address phone:** (570) 822-4140
- **Practice address fax:** (570) 822-0282
- **Mailing address:** 24 N MAIN STREET, WILKES BARRE, PA 18701-2603
- **Mailing address phone:** (570) 822-4140
- **Mailing address fax:** (570) 822-0282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 03/05/2008
- **Last updated:** 03/05/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0015015470001 | MEDICAL ASSISTANCE | PA |