Organization
CASEY DENTAL INSTITUTE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN MICHAEL JOSEPH CASEY D.M.D. (PRESIDENT)
(570) 654-4141
Entity
Organization
Contact information
Practice address
1120 OAK ST, PITTSTON TOWNSHIP, PA 18640-3770
(570) 654-4141
(570) 654-2150
Mailing address
1120 OAK ST, PITTSTON TOWNSHIP, PA 18640-3770
(570) 654-4141
(570) 654-2150
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS028971L
PA
1223G0001X
General Practice Dentistry
DS035398
PA
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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