DR. MARYBETH MARCINCIN (NPI# 1093724775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093724775 |
Entity Type | Individual |
Full Name | DR. MARYBETH MARCINCIN |
Credential | D.M.D, M.S. |
Practice Address |
1414 Millard St Bethlehem PA 18018-2632 |
Practice Telephone | 6106911461 |
Practice Fax Number | 6106914184 |
Mailing Telephone | 6106911461 |
Mailing Fax Number | 6106914184 |
Enumeration Date | 2006-08-05 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DS026773L | PA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | DENTAL LICENSE NUMBER | DS026773L | 01 |
PA | FEDERAL TAX ID | 23-2710202 | 01 |
Street Address |
1414 MILLARD ST |
City | BETHLEHEM |
State | PA |
Zip Code | 18018-2632 |
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 | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437635224 | Sarah Eve Fisher Kaplan | Dentist | 3076 Schoenersville Rd Ste 101, Bethlehem, PA 18017-2210 | 2018-07-14 |
1609160217 | William James Cherry | Dentist | 4473 Hanoverville Rd, Bethlehem, PA 18020-9462 | 2011-06-01 |
1760936116 | Chance Andrew Choate | Dentist | 3076 Schoenersville Rd, Bethlehem, PA 18017-2210 | 2016-08-14 |
1598132482 | Daniel Wulc | Dentist | 3076 Schoenersville Rd, Bethlehem, PA 18017-2210 | 2015-08-26 |
1568745602 | Bryon Joseph Viechnicki | Dentist | 122 E Broad St, Bethlehem, PA 18018-6276 | 2011-09-26 |
1881924140 | Bethlehem Orthodontics, P.C. | Dentist | 701 W Union Blvd, Suite 11, Bethlehem, PA 18018-3700 | 2010-01-10 |
1356591903 | Jason Michael Hartman | Dentist | 701 W Union Blvd, Suite 11, Bethlehem, PA 18018-3700 | 2008-09-19 |
1386855351 | Joseph Michael Viechnicki | Dentist | 122 E Broad St, Bethlehem, PA 18018-6276 | 2007-05-24 |
1891819488 | Stephen David Ely | Dentist | 1665 Valley Center Pkwy, Suite 100, Bethlehem, PA 18017-2269 | 2007-03-19 |
1679640544 | Luis J Alvarez Dds PC | Dentist | 190 Brodhead Road, Suite 110, Bethlehem, PA 18017 | 2006-11-29 |
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.