AFFILIATED PEDIATRIC DENTISTRY NPI 1134477425

NPI Information

  • NPI: 1134477425
  • Provider Name: AFFILIATED PEDIATRIC DENTISTRY
  • Classification: Point of Service - 305S00000X
  • Entity Type: Organization
  • Doing Business As: ROSS M. WEZMAR DDS PC
  • Address: 313 MULBERRY ST
    SCRANTON, PA
    ZIP 18503
  • Phone: (570) 346-7760

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NPI Details

AFFILIATED PEDIATRIC DENTISTRY is a point of service in Scranton, PA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. AFFILIATED PEDIATRIC DENTISTRY NPI is 1134477425. The provider is registered as an organization entity type.
The provider Is Doing Business As Ross M. Wezmar Dds Pc.

The provider's business location address is:

313 MULBERRY ST
SCRANTON, PA
ZIP 18503-221
Phone: (570) 346-7760
Fax: (570) 346-9002

The provider's authorized official is Ross M Wezmar .
The authorized official title is Owner and has the following contact phone number (570) 346-7760.

The enumeration date for this NPI number is 8/17/2012 and was last updated on 1/18/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305S00000XPoint of Service17699PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11013232140003OTHERPENNSYLVANIAMEDICAL ASSISTANCE
21023077430001OTHERPENNSYLVANIAMEDICAL ASSISTANCE
31013232140005OTHERPENNSYLVANIAMEDICAL ASSISTANCE
41023077430004OTHERPENNSYLVANIAMEDICAL ASSISTANCE
50005246180005OTHERPENNSYLVANIAMEDICAL ASSISTANCE
60005246180003OTHERPENNSYLVANIAMEDICAL ASSISTANCE
71024923650003OTHERPENNSYLVANIAMEDICAL ASSISTANCE
81024923650001OTHERPENNSYLVANIAMEDICAL ASSISTANCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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