Individual provider · Type 1 NPI

Manoj Kumar Reddy Gade

Dental Assistant · Shamokin Dam, PA

NPI number 1639007628 Active

Practice location

30 Baldwin Blvd Ste 95
Shamokin Dam, PA 17876-9520

Fax (570) 256-1772

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000XNone listed

Dental Assistant: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the d…

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About NPI 1639007628

Manoj Kumar Reddy Gade's National Provider Identifier is 1639007628, issued on May 11, 2026. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Shamokin Dam, PA. The record was last updated on May 11, 2026.