# TIMOTHY MARK OPIEL DENTISTRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pittston Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720479637
- **Authorized official:** DR. TIMOTHY MARK OPIEL DMD (OWNER)
- **Authorized official phone:** (570) 654-2484

## Contact information

- **Practice address:** 34 S MAIN ST, PITTSTON, PA 18640-1827
- **Practice address phone:** (570) 654-2484
- **Practice address fax:** (570) 654-4867
- **Mailing address:** 34 S MAIN ST, PITTSTON, PA 18640-1827
- **Mailing address phone:** (570) 654-2484
- **Mailing address fax:** (570) 654-4867

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS038284 | PA | Yes |

## Other

- **Enumeration date:** 02/13/2015
- **Last updated:** 02/13/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1025160190002 | — | PA |