| Organization Name: | FAMILY PROSTHETIC & DENTAL IMPLANT ASSOCIATES OF WYOMING COUNTY, P.C. |
| NPI Number: | 1225213242 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN PAUL ANDREWS (OWNER) |
| Mailing Address: | 161 Bridge St Tunkhannock |
| State: | PA US |
| Postal Code: | 186571127 |
| Phone Number: | 5708368942 |
| Fax Number: | 5708369712 |
| NPI Enumeration Date: | 01/09/2008 |
| NPI Last Update Date: | 01/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223P0700X |
| License Number: | DS027490L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | Prosthodontics |
| Taxonomy Definition: | That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |