Provider Demographics
NPI:1053369835
Name:NEW CASTLE ENDODONTICS
Entity type:Organization
Organization Name:NEW CASTLE ENDODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:P
Authorized Official - Last Name:SKALOSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:724-652-6226
Mailing Address - Street 1:2539 WILMINGTON RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-1636
Mailing Address - Country:US
Mailing Address - Phone:724-652-6226
Mailing Address - Fax:724-652-1899
Practice Address - Street 1:2539 WILMINGTON RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-1636
Practice Address - Country:US
Practice Address - Phone:724-652-6226
Practice Address - Fax:724-652-1899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS028925L1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty