DR. KENNETH R HEISE (NPI# 1003905845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003905845 |
| Entity Type | Individual |
| Full Name | DR. KENNETH R HEISE |
| Credential | DDS |
| Practice Address |
11 N Market St Elysburg PA 17824 |
| Practice Telephone | 5706729692 |
| Practice Fax Number | 5706721019 |
| Mailing Telephone | 5706729692 |
| Mailing Fax Number | 5706721019 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS023434L | PA | Dental Providers |
| Street Address |
11 N MARKET ST |
| City | ELYSBURG |
| State | PA |
| Zip Code | 17824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366893125 | Heidi Roadarmel | Specialist | 9 E Rosevelt Ave, Elysburg, PA 17824 | 2016-06-23 |
| 1275961641 | Eastern Community Lab, LLC | Clinical Medical Laboratory | 454 W. Valley Ave., Elysburg, PA 17824 | 2013-10-23 |
| 1063785509 | Irene Marie Jessick | Internal Medicine | 57 B Jackson Road, Elysburg, PA 17824 | 2012-02-14 |
| 1861902439 | Danielle Higgins Turner | Physician Assistant | 289 S Market St, Elysburg, PA 17824 | 2017-10-09 |
| 1548465578 | Bloomsburg Physicians Services | Family Medicine | 2 South Market Street, Elysburg, PA 17824 | 2007-06-19 |
| 1275520728 | Kathya Michelle Zinszer | Podiatrist | 436 W Valley Ave, Elysburg, PA 17824 | 2005-09-30 |
| 1720040066 | Harry O. Mateer Jr. | Obstetrics & Gynecology | 100 N Academy Ave, Danville, PA 17824-2920 | 2006-04-03 |
| 1245632231 | Geisinger Medical Center | Podiatrist | 436 W Valley Avenue, Elysburg, PA 17824-6090 | 2014-09-22 |
| 1962883504 | Amanda M. Hummel | Counselor | 414 W Center St, Elysburg, PA 17824-7113 | 2015-06-09 |
| 1780998153 | Allison M Hauer | Specialist | 155 Sunset Dr, Elysburg, PA 17824-7190 | 2010-07-28 |
| Find all providers in zip 17824 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555426 | Andrew Morrison | Dentist | 1575 Highlands Dr Ste 100, Lititz, PA 17543-7507 | 2020-10-12 |
| 1497362982 | Samar Al Quraishi | Dentist | 625 E Lancaster Ave Apt C303, Wynnewood, PA 19096-2028 | 2020-09-28 |
| 1891301875 | Livewell Dentistry Pllc | Dentist | 125 Towne Centre Blvd Ste 510, Wexford, PA 15090-5619 | 2020-09-16 |
| 1396351318 | Mostafa Alwakeel | Dentist | 5450 Wissahickon Ave Apt B232, Philadelphia, PA 19144-5404 | 2020-09-16 |
| 1235743857 | Gurkirt Singh | Dentist | 833 N Bethlehem Pike, Spring House, PA 19477 | 2020-09-01 |
| 1245844927 | Puja Shah | Dentist | 602 S Bethlehem Pike Ste C2, Ambler, PA 19002-5800 | 2020-09-01 |
| 1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
| 1811508922 | Eleine Laffita Aguilera | Dentist | 4040 Spruce St Apt 5, Philadelphia, PA 19104-4130 | 2020-08-12 |
| 1053921932 | Priyanka Patel | Dentist | Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 | 2020-08-05 |
| 1578172128 | Selena Nguyen | Dentist | 4837 N Broad St, Philadelphia, PA 19141-2107 | 2020-07-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.