Affiliated Pediatric Dentistry
Affiliated Pediatric Dentistry is a healthcare organization registered as Point of Service in Scranton, PA, holding Type 2 (organization) NPI 1134477425 since 2012. The authorized official on file is Ross Wezmar, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1134477425 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Affiliated Pediatric Dentistry |
| Other name | <Unavail> |
| Practice address | 313 MULBERRY ST, Scranton, PA, 18503 |
| Phone | 5703467760 |
| Fax | 5703469002 |
| Enumeration date | 2012-08-17 |
| Last updated in NPPES | 2013-01-18 |
Authorized official
| Name | Ross Wezmar |
|---|---|
| Title | Owner |
| Phone | 5703467760 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 305S00000X | Point of Service | Primary | 17699 | PA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005246180003 | Other | PA | MEDICAL ASSISTANCE |
| 1013232140003 | Other | PA | MEDICAL ASSISTANCE |
| 0005246180005 | Other | PA | MEDICAL ASSISTANCE |
| 1023077430004 | Other | PA | MEDICAL ASSISTANCE |
| 1024923650003 | Other | PA | MEDICAL ASSISTANCE |
| 1013232140005 | Other | PA | MEDICAL ASSISTANCE |
| 1024923650001 | Other | PA | MEDICAL ASSISTANCE |
| 1023077430001 | Other | PA | MEDICAL ASSISTANCE |
Copy-ready billing details
Provider: Affiliated Pediatric Dentistry NPI: 1134477425 Taxonomy: 305S00000X (Point of Service) Address: 313 MULBERRY ST, Scranton, PA, 18503
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1629123344 | Nidia Marchese | Individual | Pediatric Dentistry | Scranton, PA |
| 1164711529 | Alec Nguyen | Individual | Pediatric Dentistry | Scranton, PA |
| 1033404215 | Hyun Choi | Individual | Pediatric Dentistry | Scranton, PA |
| 1891189353 | Lucas Carubia | Individual | Pediatric Dentistry | Scranton, PA |
| 1124780655 | S4k Scranton, LLC | Organization | Pediatric Dentistry | Scranton, PA |
Verify this record
Cross-check NPI 1134477425 against the authoritative CMS record: view Affiliated Pediatric Dentistry on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Affiliated Pediatric Dentistry located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-01-18.