NPI 1639007628

Manoj Kumar Reddy Gade

Practitioner Dental Assistant Shamokin Dam, PA

Practice location

Address: 30 Baldwin Blvd STE 95, Shamokin Dam, PA 17876-9520
Phone: (267) 809-2364
Fax: (570) 256-1772

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1639007628
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 May 2026
Record last updated: 11 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.