# ASPEN DENTAL ASSOCIATES NEPA, PLLC

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

## Provider details

- **NPI number:** 1689901043
- **Authorized official:** SHEKHAR GUPTA DDS (OWNER)
- **Authorized official phone:** (570) 424-6005

## Contact information

- **Practice address:** 1112A N 9TH ST, STROUDSBURG, PA 18360-1102
- **Practice address phone:** (570) 424-6005
- **Mailing address:** PO BOX 3189, SYRACUSE, NY 13220-3189
- **Mailing address phone:** (315) 454-6000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS036379 | PA | Yes |

## Other

- **Enumeration date:** 11/05/2009
- **Last updated:** 11/05/2009