KOTULA DENTAL, INC. (NPI# 1073812012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073812012 |
| Entity Type | Organization |
| Organization Name | KOTULA DENTAL, INC. |
| Other Organization Name | KOTULA DENTAL |
| Practice Address |
3011 Kutztown Rd Reading PA 19605-3406 |
| Practice Telephone | 6109290070 |
| Practice Fax Number | 6109391797 |
| Mailing Telephone | 6109290070 |
| Mailing Fax Number | 6109391797 |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-03-16 |
| Authorized Official Name | DR. EDMUND NED KOTULA (PRESIDENT) |
| Authorized Official Telephone | 6109290070 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DS029484L | PA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kotula Dental | Doing Business As Name - Organization |
| Street Address |
3011 KUTZTOWN RD |
| City | READING |
| State | PA |
| Zip Code | 19605-3406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801986021 | Edmund Ned Kotula | Dentist | 3011 Kutztown Rd, Reading, PA 19605-3406 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639715618 | Reading Behavioral Healthcare, LLC | Psychiatric Hospital | 201 Wellness Way, Reading, PA 19605 | 2019-11-25 |
| 1336663657 | Peace of Mind Transportation and Home Care | In Home Supportive Care | 2537 Leisczs Bridge Rd., Reading, PA 19605 | 2017-07-28 |
| 1780059709 | Daniel Kropf | Specialist/Technologist | 400 Sharp Ave, Reading, PA 19605 | 2015-12-02 |
| 1629455324 | Pooja Ahuja | Dentist | 3302 North 5th Street Hwy, Dental Dreams LLC, Reading, PA 19605 | 2015-05-01 |
| 1831531722 | Manmeet Kaur Kuckreja | Dentist | 3302 N Fifth St Highway, Dental Dreams LLC, Reading, PA 19605 | 2013-07-22 |
| 1104263698 | Vincent Zhang | Obstetrics & Gynecology | 2494 Bernville Rd Ste 100, Reading, PA 19605 | 2013-05-24 |
| 1407083876 | Rajiv Kolandaivelu | Dentist | 3302 North Fifth Street Highway, Reading, PA 19605 | 2009-06-12 |
| 1083820377 | Reading Hospital | Psychiatry & Neurology | Sharp Avenue & Frances Street, Laureldale, PA 19605 | 2007-05-15 |
| 1770632242 | Jennifer Maryniak | Specialist/Technologist | Sharp & Francis Streets, Laureldale, PA 19605 | 2007-01-10 |
| 1942359419 | Michael John Kaminskas IIi | Specialist/Technologist | Sharp St and Francis St, Muhlenberg High School, Laureldale, PA 19605 | 2007-01-10 |
| Find all providers in zip 19605 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343885 | Reinecker Dental LLC | Clinic/Center | 5001 Perkiomen Ave Ste 102, Reading, PA 19606-9655 | 2020-10-15 |
| 1699391896 | Shad J. Lewis, Dmd Ma LLC | Clinic/Center | 2211 Quarry Dr, Reading, PA 19609-1161 | 2020-06-23 |
| 1306472758 | Family Dentistry of Exeter | Clinic/Center | 90 Gibraltar Rd, Reading, PA 19606-9460 | 2020-03-18 |
| 1750868048 | Rhockett Enterprises LLC | Clinic/Center | 3528 Saint Lawrence Ave, Reading, PA 19606 | 2018-07-19 |
| 1700335619 | Alla Shikhanovich Dmd, PC | Clinic/Center | 315 Main St, Suite 101, Reading, MA 01867-3666 | 2016-10-03 |
| 1578016689 | Pediatric Dentistry of Reading P.C. | Clinic/Center | 5001 Perkiomen Ave, Suite 101, Reading, PA 19606-9614 | 2016-07-26 |
| 1679917058 | Dental Health and Wellness LLC | Clinic/Center | 2433 Morgantown Rd, Suite 200, Reading, PA 19607-9692 | 2013-04-29 |
| 1942366521 | Center for Tmj & Sleep Disorders, LLC | Clinic/Center | 2433 Morgantown Rd, Suite 200, Reading, PA 19607-9692 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306278 | Maria B Mezzanotte Dds LLC | Clinic/Center | 3409 Wilmington Rd, New Castle, PA 16105-3209 | 2020-11-04 |
| 1952901704 | Prime Dental Associates, LLC | Clinic/Center | 101 Old York Rd Ste 401, Jenkintown, PA 19046-3912 | 2020-10-30 |
| 1194324897 | Jignesh Rudani Dmd PC | Clinic/Center | 3400 Bath Pike Ste 200, Bethlehem, PA 18017-2484 | 2020-10-22 |
| 1710585815 | Tpg Dmd, LLC | Clinic/Center | Grande Plaza 1103 Rocky Dr, Suite 205, West Lawn, PA 19609 | 2020-10-12 |
| 1427665751 | Chandan Dental Associates | Clinic/Center | 3242 S Main Street, Sandy Lake, PA 16145 | 2020-09-30 |
| 1578175733 | Columbia Dental LLC | Clinic/Center | 846 Lancaster Ave, Columbia, PA 17512-2206 | 2020-08-19 |
| 1043820749 | David B. Killian, Dmd, PC | Clinic/Center | 305 S. Hanover Street, Carlisle, PA 17013 | 2020-08-06 |
| 1427667336 | Indiju 4 Dental LLC | Clinic/Center | 4240 Oregeon Pk., Ephrata, PA 17522 | 2020-07-27 |
| 1902415276 | Ragland Orthodontics | Clinic/Center | 800 Edgewood Rd Ste 1, York, PA 17402-4379 | 2020-07-23 |
| 1356950604 | Jamison Innovative Dentistry PC | Clinic/Center | 2370 Old York Rd Ste D1, Jamison, PA 18929-1031 | 2020-07-23 |
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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.