DR. SHAMUS GARTLEY DDS NPI 1376380113

NPI Information

  • NPI: 1376380113
  • Provider Name: DR. SHAMUS GARTLEY, DDS
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • Address: 920 WYOMING AVE STE 203
    FORTY FORT, PA
    ZIP 18704
  • Phone: (570) 283-3611

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NPI Details

DR. Shamus Gartley, DDS is a periodontics dentist in Forty Fort, PA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Shamus Gartley, DDS NPI is 1376380113. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

920 WYOMING AVE STE 203
FORTY FORT, PA
ZIP 18704-999
Phone: (570) 283-3611

The enumeration date for this NPI number is 7/10/2024 and was last updated on 7/10/2024.

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
11223P0300XDentistPeriodonticsDS043639PENNSYLVANIAYes

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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