Samuel Michael Prisco, DDS

General Practice Dentistry · Jermyn, PA

Individual Active NPI

NPI number 1730241894

Practice location

5 S Washington Ave
Jermyn, PA 18433-1121

Phone: (570) 230-0019
Fax: (570) 230-0013

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NPI record

NPI: 1730241894
Entity type: Individual (Type 1)
Enumeration date: December 15, 2006
Last updated: January 19, 2026
Certified: January 19, 2026
Sole proprietor: Yes

Specialties & taxonomy codes

Taxonomy	Code	License	State
General Practice Dentistry Primary	`1223G0001X`	DS022580L	PA

Mailing address

444 Orchard St
Scranton, PA 18505-1257

Phone: (570) 342-7868

About Dr. Prisco

Samuel Michael Prisco, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5 S Washington Ave, Jermyn, PA 18433-1121. The NPI number 1730241894 was assigned on December 15, 2006 and the record was last updated on January 19, 2026.

Dr. Prisco lists a license in the registry: #DS022580L (PA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Samuel Michael Prisco, DDS?

The NPI number is 1730241894.

What is the phone number of Dr. Prisco?

The phone number listed for the practice location is (570) 230-0019.

Where is Dr. Prisco located?

5 S Washington Ave, Jermyn, PA 18433-1121.

What is the taxonomy code for Dr. Prisco?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.