Healthcare Provider Details

I. General information

NPI: 1548310477
Provider Name (Legal Business Name): FRANK A. DINOIA, D.D.S, P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 ADAMS AVE SUITE 207
SCRANTON PA
18510-2025
US

IV. Provider business mailing address

401 ADAMS AVE SUITE 207
SCRANTON PA
18510-2025
US

V. Phone/Fax

Practice location:
  • Phone: 570-343-5466
  • Fax: 570-343-5469
Mailing address:
  • Phone: 570-343-5466
  • Fax: 570-343-5469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberDS019510L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: FRANK A. DINOIA
Title or Position: OWNER
Credential: D.D.S.
Phone: 570-343-5466