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Back Mountain Pediatric Dentistry
Pediatric Dentist in Dallas, Pennsylvania
NPI 1013789452

Back Mountain Pediatric Dentistry is a Pediatric Dentist based in Old Forge, PA and is specialized in Pediatric Dentistry. Back Mountain Pediatric Dentistry practices in Dallas, PA. The NPI Number for Back Mountain Pediatric Dentistry is 1013789452 and holds a License No. (Pennsylvania).

The current practice location address for Back Mountain Pediatric Dentistry is 3784 Yalick Plz Unit 1, Dallas, PA and can be reached out via phone at 570-456-5566.

Location: 3784 Yalick Plz Unit 1, Dallas, PA, 18518-1598
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013789452
Provider Name
Back Mountain Pediatric Dentistry
Credential
Provider Entity Type
Organization
Address
3784 Yalick Plz Unit 1, Dallas, PA, 18518-1598
Phone Number
570-456-5566
Fax Number
Provider Enumeration Date
10/30/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3784 Yalick Plz Unit 1
City
Dallas
State
Pennsylvania
Zip
18612-7719
Phone Number
570-456-5566
Fax Number
person
Provider Business Mailing Address Details
Address
3784 Yalick Plz Unit 1
City
Dallas
State
Pennsylvania
Zip
18612-7719
Phone Number
570-456-5566
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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