Moosic Dental Group Inc is a Dental Clinic in Moosic, Pennsylvania. It is located at 502 Church Street, Moosic, PA and its contact number is 570-344-3500. The authorized person for Moosic Dental Group Inc is Nolen Scott Ely
who is Owner of the clinic and their contact number is 570-344-3500. The primary license number for Moosic Dental Group Inc is DS030419L (Dentist) in Pennsylvania.
Moosic Dental Group Inc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Moosic Dental Group Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Moosic Dental Group Inc |
| Specialization: | Dentistry |
| Clinic Address: | 502 Church Street, Moosic, Pennsylvania, 18507 |
| Phone: | 570-344-3500 |
| Fax: | 570-344-9442 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Nolen Scott Ely |
| Position: | Owner |
| Contact Number: | 570-344-3500 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Moosic Dental Group Inc clinic are as mentioned below.
| NPI Number: | 1316044431 |
| NPI Enumeration Date: | 20 Sep, 2006 |
| NPI Last Update On: | 25 Jun, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Moosic Dental Group Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | DS030419L | Pennsylvania | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1014984530002 | Medicaid | Pennsylvania | |
| 162464 | Other | Pennsylvania | Unison |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Moosic Dental Group Inc 502 Church Street, Moosic, Pennsylvania |
| Zip: | 18507 |
| Phone Number: | 570-344-3500 |
| Fax Number: | 570-344-9442 |
Patients can reach Moosic Dental Group Inc at
502 Church Street, Moosic, Pennsylvania or can
call to book an appointment on 570-344-3500.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 March, 2026.