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

Back Mountain Pediatric Dentistry

Organization Pediatric Dentistry · NPI 1013789452

Back Mountain Pediatric Dentistry is a Pediatric Dentistry in Dallas, Pennsylvania. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

3784 Yalick Plz Unit 1
Dallas, PA 18612-7719
Phone: (570) 456-5566
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1013789452
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Pizano — Owner Pediatric Dentist · (570) 885-9531
NPI enumeratedOctober 30, 2023
Last updated in NPPESOctober 30, 2023
Certification dateOctober 28, 2023
Mailing address126 Seneca Dr, Old Forge, PA 18518-1598

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