Provider Demographics
NPI:1265161103
Name:AFFORDABLE DENTURES & IMPLANTS OF PENNSYLVANIA, PLLC
Entity type:Organization
Organization Name:AFFORDABLE DENTURES & IMPLANTS OF PENNSYLVANIA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:NARANJA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:570-606-3770
Mailing Address - Street 1:2298 WILKES BARRE TOWNSHIP MARKET PL
Mailing Address - Street 2:
Mailing Address - City:WILKES BARRE TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18702-6061
Mailing Address - Country:US
Mailing Address - Phone:570-606-3770
Mailing Address - Fax:
Practice Address - Street 1:2298 WILKES BARRE TOWNSHIP MARKET PL
Practice Address - Street 2:
Practice Address - City:WILKES BARRE TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:18702-6061
Practice Address - Country:US
Practice Address - Phone:570-606-3770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty