Reconstructive Dentistry, LLC

Reconstructive Dentistry, LLC is a healthcare organization registered as Ambulatory Surgical Clinic/Center in Scranton, PA, holding Type 2 (organization) NPI 1588019095 since 2016. The authorized official on file is David Hazzouri, Medical Director.

✓ Active NPI ✓ Valid NPI checksum

NPI	1588019095
Entity type	Organization (Type 2)
Legal business name	Reconstructive Dentistry, LLC
Practice address	327 N WASHINGTON AVE STE 609, Scranton, PA, 18503
Phone	5709616030
Enumeration date	2016-05-03
Last updated in NPPES	2016-05-03

Authorized official

Name	David Hazzouri
Title	Medical Director
Phone	5709616030

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QA1903X	Ambulatory Surgical Clinic/Center	Primary	112193	PA

Other identifiers

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

Copy-ready billing details

Provider: Reconstructive Dentistry, LLC
NPI: 1588019095
Taxonomy: 261QA1903X (Ambulatory Surgical Clinic/Center)
Address: 327 N WASHINGTON AVE STE 609, Scranton, PA, 18503

Verify this record

Cross-check NPI 1588019095 against the authoritative CMS record: view Reconstructive Dentistry, LLC 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?

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 2026-07-11. Provider record last updated 2016-05-03.