Organization
ANTHONY D KUPRIONAS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY D KUPRIONAS DDS (DENTIST OWNER)
(570) 822-4140
Entity
Organization
Contact information
Practice address
24 N MAIN STREET, WILKES BARRE, PA 18701-2603
(570) 822-4140
(570) 822-0282
Mailing address
24 N MAIN STREET, WILKES BARRE, PA 18701-2603
(570) 822-4140
(570) 822-0282
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015015470001
MEDICAL ASSISTANCE
PA
Enumeration date
03/05/2008
Last updated
03/05/2008
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