# CENTURY DENTAL GR LLC

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

## Provider details

- **NPI number:** 1770355380
- **Authorized official:** COREY CHMIL DMD (TREATING PROVIDER/OWNER)
- **Authorized official phone:** (570) 876-4488

## Contact information

- **Practice address:** 1821 SANDERSON AVE, SCRANTON, PA 18509-1854
- **Practice address phone:** (570) 346-2244
- **Mailing address:** 696 SCRANTON CARBONDALE HWY, EYNON, PA 18403-1004
- **Mailing address phone:** (570) 876-4488

## Taxonomy

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

## Other

- **Enumeration date:** 10/26/2023
- **Last updated:** 10/26/2023