Organization
CENTURY DENTAL MP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDY S SCHUBERT (OFFICE MANAGER)
(570) 839-2101
Entity
Organization
Contact information
Practice address
33 STERLING RD, MOUNT POCONO, PA 18344-1118
(570) 839-2101
(570) 839-2105
Mailing address
33 STERLING RD, MOUNT POCONO, PA 18344-1118
(570) 839-2101
(570) 839-2105
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083781751
DR JASON HANYON
PA
01
—
1205196227
DR WILLIAM DEMPSEY
PA
01
—
1992816284
DR JAMES SIROTNAK
PA
Enumeration date
04/29/2019
Last updated
04/29/2019
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