Provider Demographics
NPI:1568674935
Name:COTTURO DENTAL ASSOCIATES
Entity Type:Organization
Organization Name:COTTURO DENTAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PALMER
Authorized Official - Middle Name:J
Authorized Official - Last Name:COTTURO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:570-897-5422
Mailing Address - Street 1:2094 S DELAWARE DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT BETHEL
Mailing Address - State:PA
Mailing Address - Zip Code:18343-5240
Mailing Address - Country:US
Mailing Address - Phone:570-897-5422
Mailing Address - Fax:570-897-5424
Practice Address - Street 1:2094 S DELAWARE DR
Practice Address - Street 2:
Practice Address - City:MOUNT BETHEL
Practice Address - State:PA
Practice Address - Zip Code:18343-5240
Practice Address - Country:US
Practice Address - Phone:570-897-5422
Practice Address - Fax:570-897-5424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-05
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS015065-L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty