Healthcare Provider Details

I. General information

NPI: 1497420384
Provider Name (Legal Business Name): AMSKROBOLA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2021
Last Update Date: 08/12/2021
Certification Date: 08/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 SCRANTON CARBONDALE HWY
SCRANTON PA
18508-1111
US

IV. Provider business mailing address

225 SCRANTON CARBONDALE HWY
SCRANTON PA
18508-1111
US

V. Phone/Fax

Practice location:
  • Phone: 570-346-2132
  • Fax:
Mailing address:
  • Phone: 570-346-2132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VII. Legacy identifiers

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

VIII. Authorized Official

Name: DR. ANDREA FRANTZ
Title or Position: OWNER/ ORTHODONTIST
Credential: DMD MPH
Phone: 570-561-7236