Provider Demographics
NPI:1902985799
Name:ABINGTON FAMILY DENTISTRY PC
Entity Type:Organization
Organization Name:ABINGTON FAMILY DENTISTRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:P
Authorized Official - Last Name:MCGURRIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:570-586-6500
Mailing Address - Street 1:314 N STATE STREET
Mailing Address - Street 2:
Mailing Address - City:CLARKS SUMMIT
Mailing Address - State:PA
Mailing Address - Zip Code:18411-1060
Mailing Address - Country:US
Mailing Address - Phone:570-586-6500
Mailing Address - Fax:570-586-5857
Practice Address - Street 1:314 N STATE STREET
Practice Address - Street 2:
Practice Address - City:CLARKS SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18411-1060
Practice Address - Country:US
Practice Address - Phone:570-586-6500
Practice Address - Fax:570-586-5857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS023097L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty