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

Dr. Samuel Michael Prisco, DDS

Individual provider General Practice Dentistry · NPI 1730241894

Dr. Samuel Michael Prisco, DDS is a Dentist in Jermyn, Pennsylvania. Qualified in 1981, 45 years ago. Practices as a sole proprietor. Licensed in Pennsylvania.

Years since qualifying
45
Licensed in
PA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

5 S Washington Ave
Jermyn, PA 18433-1121
Phone: (570) 230-0019
Fax: (570) 230-0013
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS022580L (PA)

Record details

NPI number1730241894
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedDecember 15, 2006
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026
Mailing address444 Orchard St, Scranton, PA 18505-1257

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare