Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Back Mountain Dental, Inc

Organization General Practice Dentistry · NPI 1245301381

Back Mountain Dental, Inc is a General Practice Dentistry in Trucksville, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

210 Carverton Rd
Trucksville, PA 18708-1745
Phone: (570) 696-1105
Fax: (570) 696-4805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS031113L (PA)

Record details

NPI number1245301381
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Definnis — President · (570) 696-1105
NPI enumeratedNovember 12, 2006
Last updated in NPPESNovember 4, 2009
Mailing address210 Carverton Rd, Trucksville, PA 18708-1745

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