Healthcare Provider Details

I. General information

NPI: 1821062985
Provider Name (Legal Business Name): WILLIAM DEMPSEY JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 12/10/2020
Certification Date: 12/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 NORTHERN BLVD
SOUTH ABINGTON TOWNSHIP PA
18411-2221
US

IV. Provider business mailing address

605 PAMELA DR
CLARKS SUMMIT PA
18411-9712
US

V. Phone/Fax

Practice location:
  • Phone: 570-585-1300
  • Fax: 570-230-0013
Mailing address:
  • Phone: 570-840-2252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD032293E
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD032293E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: