SPA DENTAL CENTER (NPI# 1013090034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013090034 |
| Entity Type | Organization |
| Organization Name | SPA DENTAL CENTER |
| Practice Address |
750 Venango Ave Cambridge Springs PA 16403 |
| Practice Telephone | 8143982656 |
| Practice Fax Number | 8143981438 |
| Mailing Telephone | 8143982656 |
| Mailing Fax Number | 8143981438 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2011-03-09 |
| Authorized Official Name | DR. MARIE D CROCKER (OWNER) |
| Authorized Official Telephone | 8143982656 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
DS028556L | PA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DS017224L | PA | Dental Providers |
| Y | 122300000X | Dentist | DS028556L | PA | Dental Providers |
| Street Address |
750 VENANGO AVE |
| City | CAMBRIDGE SPRINGS |
| State | PA |
| Zip Code | 16403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619988037 | Marie Crocker | Dentist | 750 Venango Ave, Cambridge Springs, PA 16403 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629025622 | Elizabeth A Henry Burnett | Chiropractor | 22295 Highway 6 and 19, Cambridge Springs, PA 16403 | 2006-05-27 |
| 1588767552 | Cambridge Area Volunteer Ambulance Service Inc | Ambulance | 202 Venango Ave, Cambridge Springs, PA 16403-1040 | 2006-09-06 |
| 1215910542 | Ronald Christian Martin | Family Medicine | 118 Railroad St, Box# 241, Cambridge Springs, PA 16403-1060 | 2005-11-21 |
| 1710449632 | Titusville Area Hospital | Clinic/Center | 118 Railroad St, Cambridge Springs, PA 16403-1060 | 2019-04-01 |
| 1407243678 | Cherish H Church | Family Medicine | 118 Railroad St, Cambridge Springs, PA 16403-1060 | 2015-04-24 |
| 1649661471 | Meadville Medical Center | Clinic/Center | 118 Railroad St, Cambridge Springs, PA 16403-1060 | 2015-02-16 |
| 1073760476 | Elizabeth Carol Waite | Physician Assistant | 118 Railroad St, Cambridge Springs, PA 16403-1060 | 2008-08-27 |
| 1275708612 | Amy G Miles | Family Medicine | 118 Railroad St, Cambridge Springs, PA 16403-1060 | 2008-04-28 |
| 1134265549 | Conneaut Valley Health Center Inc. | Clinic/Center | 118 Railroad St, Cambridge Springs, PA 16403-1060 | 2007-01-30 |
| 1043236649 | Bridget Dolnosich | Physical Therapist | 229 N Main St Unit 5, Cambridge Springs, PA 16403-1067 | 2006-07-15 |
| Find all providers in zip 16403 | ||||
| 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 | ||||
| City | CAMBRIDGE SPRINGS |
| Zip Code | 16403 |
Please comment or provide details below to improve the information on SPA DENTAL CENTER.
| 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.