Organization
CENTURY DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER JOSEPH KRENITSKY DDS (PRESIDENT)
(570) 876-4488
Entity
Organization
Contact information
Practice address
696 SCRANTON CARBONDALE HWY, EYNON, PA 18403-1004
(570) 876-4488
(570) 876-1625
Mailing address
696 SCRANTON CARBONDALE HWY, EYNON, PA 18403-1004
(570) 876-4488
(570) 876-1625
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS24116
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083781751
DENTIST
PA
01
—
1669549325
DENTIST
PA
Enumeration date
04/16/2007
Last updated
08/22/2020
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