Individual
DR. DAVID JOSEPH SCOPELLITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
048636-1
NY
122300000X
Dentist
Primary
DS025428L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010875440001
—
PA
05
—
01032342
—
NY
01
—
190009642
RR MEDICARE PIN
PA
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039851
PA MEDICARE GROUP
PA
Enumeration date
02/17/2006
Last updated
03/08/2021
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