OrganizationActive
Affiliated Pediatric Dentistry
NPI 1134477425 · Point of Service · Scranton, PA
Provider details
- NPI number
- 1134477425
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Authorized official
- Ross Wezmar, Owner
- License
- 17699 (PA)
Practice location
313 Mulberry St
Scranton, PA 18503-1221
Phone: (570) 346-7760
Fax: (570) 346-9002
Mailing address
313 Mulberry St
Scranton, PA 18503-1221
Registry dates
- Enumerated
- 2012-08-17
- Last updated
- 2013-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.