Individual
DR. DALE W COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
242 NOBLE RD, CLARKS SUMMIT, PA 18411-9406
(570) 586-1411
(570) 586-1431
Mailing address
242 NOBLE RD, CLARKS SUMMIT, PA 18411-9406
(570) 586-1411
(570) 586-1431
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DSO16132
PA
1223G0001X
General Practice Dentistry
DSO36126
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005267570001
—
PA
Enumeration date
02/06/2007
Last updated
07/08/2007
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