OrganizationActive
Back Mountain Pediatric Dentistry
NPI 1013789452 · Pediatric Dentistry · Dallas, PA
Back Mountain Pediatric Dentistry is a Pediatric Dentistry organization in Dallas, PA (NPI 1013789452).
Provider details
- NPI number
- 1013789452
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jessica Pizano, Owner Pediatric Dentist(570) 885-9531
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3784 Yalick Plz Unit 1
Dallas, PA 18612-7719
Phone: (570) 456-5566
Street-level locationGet directions
Mailing address
126 Seneca Dr
Old Forge, PA 18518-1598
Registry dates
- Enumerated
- 2023-10-30
- Last updated
- 2023-10-30
- Certified
- 2023-10-28
Frequently asked questions
- What is Back Mountain Pediatric Dentistry's NPI number?
- Back Mountain Pediatric Dentistry's National Provider Identifier (NPI) is 1013789452, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Back Mountain Pediatric Dentistry?
- Back Mountain Pediatric Dentistry is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Back Mountain Pediatric Dentistry located?
- Back Mountain Pediatric Dentistry's practice location on file with NPPES is 3784 Yalick Plz Unit 1, Dallas, PA 18612-7719.
- What is Back Mountain Pediatric Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Back Mountain Pediatric Dentistry is (570) 456-5566.
- Who is the authorized official for Back Mountain Pediatric Dentistry?
- The authorized official listed on Back Mountain Pediatric Dentistry's NPPES record is Jessica Pizano, Owner Pediatric Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Back Mountain Pediatric Dentistry's NPI active?
- Yes — Back Mountain Pediatric Dentistry's NPI (1013789452) is active in the NPPES registry as of the last update on 2023-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.