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

Moosic Dental Group Inc

Organization Dentist · NPI 1316044431

Moosic Dental Group Inc is a Dentist in Moosic, 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

502 Church St
Moosic, PA 18507
Phone: (570) 344-3500
Fax: (570) 344-9442
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS030419L (PA)

Record details

NPI number1316044431
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nolen Ely — Owner · (570) 344-3500
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJune 25, 2013
Mailing address502 Church Street, Moosic, PA 18507

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