# ADVANCED DENTISTRY IMPLANTS DENTURES INC

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

## Provider details

- **NPI number:** 1922912013
- **Authorized official:** CAROLYN BATES (DIRECTOR OF FINANCE)
- **Authorized official phone:** (716) 622-1592

## Contact information

- **Practice address:** 1499 N SUSQUEHANNA TRL STE 2, SELINSGROVE, PA 17870-7783
- **Practice address phone:** (570) 884-4000
- **Practice address fax:** (570) 844-8770
- **Mailing address:** 1499 N SUSQUEHANNA TRL STE 2, SELINSGROVE, PA 17870-7783
- **Mailing address phone:** (570) 884-4000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/28/2026
- **Last updated:** 09/28/2026