CENTER FOR ORAL AND MAXILLOFACIAL SURGERY AND IMPLANTOLOGY AT ST. LUKE (NPI# 1033158910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033158910 |
| Entity Type | Organization |
| Organization Name | CENTER FOR ORAL AND MAXILLOFACIAL SURGERY AND IMPLANTOLOGY AT ST. LUKE |
| Practice Address |
1521 8th Ave Suite 100 Bethlehem PA 18018-1865 |
| Mailing Address |
1521 8th Ave Suite 101 Bethlehem PA 18018-1865 |
| Practice Telephone | 6108658077 |
| Practice Fax Number | 6108658112 |
| Mailing Telephone | 6108658077 |
| Mailing Fax Number | 6108658112 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2008-10-23 |
| Authorized Official Name | WAYNE J. SAUNDERS (DMD) |
| Authorized Official Telephone | 6108658077 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
1521 8TH AVE SUITE 100 |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18018-1865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407306095 | Kimberley Polizzano | Physician Assistant | 1521 8th Ave, Suite 201, Bethlehem, PA 18018-1893 | 2016-10-07 |
| 1144573544 | Nicole M Nye | Nurse Practitioner | 1521 8th Ave, Suite 201, Bethlehem, PA 18018-1893 | 2012-10-23 |
| 1376825653 | Veronica Teslyn Barreto | Dentist | 1521 8th Ave, Suite 101, Bethlehem, PA 18018-1893 | 2011-09-13 |
| 1831471028 | Assabi A Isaac | Dentist | 1521 8th Ave, Bethlehem, PA 18018-1893 | 2011-09-13 |
| 1508187295 | Zachary John Piotrowski | Urology | 1521 8th Ave, Suite 201, Bethlehem, PA 18018-1893 | 2010-06-16 |
| 1689905085 | Karl D. Maloney | Dentist | 1521 8th Ave, 1st Floor, Bethlehem, PA 18018-1893 | 2010-01-25 |
| 1407083199 | Kaveh Kousari | Surgery | 1521 8th Ave, Suite 201, Bethlehem, PA 18018-1893 | 2009-06-19 |
| 1881837904 | Zachariah G Goldsmith | Urology | 1521 8th Ave, Suite 201, Bethlehem, PA 18018-1893 | 2009-04-20 |
| 1629298484 | Randy R Nolf | Dentist | 1521 8th Ave, Suite 101, Bethlehem, PA 18018-1893 | 2007-04-26 |
| 1831108968 | St. Luke's Physician Group, Inc. | Urology | 1521 8th Ave, Suite 201, Bethlehem, PA 18018-1893 | 2006-08-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373292 | Jade Madison Hennessy | Specialist/Technologist | Moravian College, 1200 Main Street, Bethlehem, PA 18018 | 2019-06-03 |
| 1780106179 | Courtney Jane Kruscavage | Specialist/Technologist | 641 Dellwood Street, Bethlehem, PA 18018 | 2017-07-07 |
| 1205357936 | Balanced Body Therapeutic Massage, LLC | Massage Therapist | 227 W Broad St Ste 102, Bethlehem, PA 18018 | 2017-07-03 |
| 1033567599 | Jessamine Martin | Counselor | 1 East Broad Street, Suite 510, Bethlehem, PA 18018 | 2016-05-25 |
| 1841650041 | Akhi Saha | Internal Medicine | 325 W Broad St Fl 1, Bethlehem, PA 18018 | 2016-03-01 |
| 1063804193 | Paul Minh Le | Internal Medicine | 800 Eaton Ave Ste B, Bethlehem, PA 18018 | 2015-02-26 |
| 1578962841 | Elizabeth Veronica Weiss Iobst | Counselor | 1754 W. Broad St., Bethlehem, PA 18018 | 2014-08-22 |
| 1255771739 | Inner Resources Counseling Inc | Counselor | 807 West Broad St, Bethlehem, PA 18018 | 2013-06-28 |
| 1437404878 | St Luke Hospital | General Acute Care Hospital | 1956 C Allwood Dr., Bethlehem, PA 18018 | 2012-07-23 |
| 1275802944 | St. Luke's Physician Group, Inc | Ophthalmology | 800 Eaton Avenue, Suite 101, Bethlehem, PA 18018 | 2011-12-23 |
| Find all providers in zip 18018 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730563107 | Jean Kim | Dentist | 2571 Baglyos Cir Ste B23, Bethlehem, PA 18020-8051 | 2015-07-16 |
| 1952600595 | James M. Lee | Dentist | 366 Munger Lane, Bethlehem, CT 06751-1100 | 2011-03-22 |
| 1801009360 | Brett M. Geller | Dentist | 1521 8th Avenue, First Floor, Bethlehem, PA 18018 | 2007-05-08 |
| 1154314219 | Michael A Renaldo | Dentist | 1521 8th Ave Ste 101, Bethlehem, PA 18018-1893 | 2005-08-24 |
| 1831471028 | Assabi A Isaac | Dentist | 1521 8th Ave, Bethlehem, PA 18018-1893 | 2011-09-13 |
| 1689905085 | Karl D. Maloney | Dentist | 1521 8th Ave, 1st Floor, Bethlehem, PA 18018-1893 | 2010-01-25 |
| 1669684197 | R.t. Kingston, Jr.d.d.s. P.C. | Dentist | 2414 Schoenersville Rd, Bethlehem, PA 18017-3676 | 2007-05-04 |
| 1255374237 | Daniel S. Lader | Dentist | 1521 8th Ave, Suite 100, Bethlehem, PA 18018-1865 | 2006-06-14 |
| 1790728814 | Dominic P. Rachiele | Dentist | 1521 8th Ave, Suite 100, Bethlehem, PA 18018-1865 | 2006-06-14 |
| 1588603476 | Wayne J Saunders | Dentist | 1521 8th Ave, 1st Floor, Bethlehem, PA 18018-1893 | 2006-06-06 |
| Find all providers in BETHLEHEM | ||||
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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.