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Reconstructive Dentistry, LLC

Ambulatory Surgical Clinic/Center in Scranton, PA · enumerated 2016 · authorized official David Hazzouri, Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1588019095

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Registry record

Entity type Organization (Type 2)
Legal business name Reconstructive Dentistry, LLC
Practice address 327 N Washington Ave Ste 609, Scranton, PA, 18503
Enumeration date May 3, 2016
Last updated in NPPES May 3, 2016

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities · License 112193 (PA) Primary

Authorized official

Name David Hazzouri
Title Medical Director

Other identifiers

Identifier Type State Issuer
#112193 Other PA ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CARE, INC. #112193

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-05-03. Verify at npiregistry.cms.hhs.gov.
Where is Reconstructive Dentistry, LLC located?
The practice location on file with NPPES is in Scranton, PA.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-05-03.