Organization
NORTHEAST DENTAL SURGERY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN M CASEY DMD (GENERAL DENTIST)
(570) 237-1838
Entity
Organization
Contact information
Practice address
1073 OAK ST, B STE, PITTSTON, PA 18640-3716
(570) 237-1838
Mailing address
1073 OAK ST, B STE, PITTSTON, PA 18640-3716
(570) 237-1838
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/23/2016
Last updated
12/23/2016
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