Provider Demographics
NPI:1891814216
Name:ORTHODONTICS UNLIMITED
Entity Type:Organization
Organization Name:ORTHODONTICS UNLIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:J.
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:QUINN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:570-342-3556
Mailing Address - Street 1:327 N WASHINGTON AVE
Mailing Address - Street 2:SUITE1003
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18503-1549
Mailing Address - Country:US
Mailing Address - Phone:570-342-3556
Mailing Address - Fax:570-963-8863
Practice Address - Street 1:327 N WASHINGTON AVE
Practice Address - Street 2:SUITE1003
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18503-1549
Practice Address - Country:US
Practice Address - Phone:570-342-3556
Practice Address - Fax:570-963-8863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS 0172821223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty