Individual
DR. DENIS ARMAND JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
34 SOUTH MAIN STREET, PITTSTON, PA 18640
(570) 654-2484
(570) 654-4867
Mailing address
34 SOUTH MAIN STREET, PITTSTON, PA 18640
(570) 654-2484
(570) 654-4867
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS020524L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006496590001
—
PA
01
—
151009
UNITED CONCORDIA
PA
01
—
75866
MED PLUS
PA
Enumeration date
11/20/2006
Last updated
07/08/2007
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