Organization
RECONSTRUCTIVE DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HAZZOURI DMD (MEDICAL DIRECTOR)
(570) 961-6030
Entity
Organization
Contact information
Practice address
327 N WASHINGTON AVE STE 609, SCRANTON, PA 18503-1539
(570) 961-6030
Mailing address
327 N WASHINGTON AVE STE 609, SCRANTON, PA 18503-1539
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
112193
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#112193
ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CARE, INC. #112193
PA
Enumeration date
05/03/2016
Last updated
05/03/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us