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

Reconstructive Dentistry, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1588019095

Reconstructive Dentistry, LLC is an Ambulatory Surgical Clinic/Center in Scranton, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2016.

Licensed in
PA
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

327 N Washington Ave Ste 609
Scranton, PA 18503-1539
Phone: (570) 961-6030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 112193 (PA)

Record details

NPI number1588019095
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Hazzouri — Medical Director · (570) 961-6030
NPI enumeratedMay 3, 2016
Last updated in NPPESMay 3, 2016
Mailing address327 N Washington Ave Ste 609, Scranton, PA 18503-1539

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