SOCIETY HILL DENTAL IN LEWISBURG (NPI# 1114419710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114419710 |
| Entity Type | Organization |
| Organization Name | SOCIETY HILL DENTAL IN LEWISBURG |
| Practice Address |
339 Market Street Lewisburg PA 17837 |
| Practice Telephone | 5705233207 |
| Mailing Telephone | 5705233207 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |
| Authorized Official Name | DR. SCOTT J. BONOMO (DENTIST/OWNER) |
| Authorized Official Telephone | 2152380800 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS025793L | PA | Dental Providers |
| Street Address |
339 MARKET STREET |
| City | LEWISBURG |
| State | PA |
| Zip Code | 17837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274245 | Susquehanna Valley Therapy Group, LLC | Counselor | 4552 West Branch Highway, Lewisburg, PA 17837 | 2020-08-06 |
| 1184185910 | Laura Pulaski | Physical Therapy Assistant | 15 Rivercrest Cir, Lewisburg, PA 17837 | 2019-03-26 |
| 1487112892 | Taylor Karin Hendrix | Physical Therapy Assistant | 189 Tressler Dr, Lewisburg, PA 17837 | 2019-03-05 |
| 1902375033 | United States Penitentiary | Pharmacist | 2400 Robert F. Miller Drive, Lewisburg, PA 17837 | 2018-11-19 |
| 1669919213 | Karen Jean Orchard | Marriage & Family Therapist | 821 Buffalo Road, Lewisburg, PA 17837 | 2017-01-20 |
| 1063892057 | Giant Food Stores LLC | Durable Medical Equipment & Medical Supplies | 224 Hardwood Dr, Lewisburg, PA 17837 | 2015-06-04 |
| 1003207853 | Lenora Jeanne Broda | Counselor | 1800 Market St, Diakon Family Life Services, Lewisburg, PA 17837 | 2015-02-16 |
| 1225457401 | Geisinger Clinic | Clinic/Center | 1717 W Market St, Lewisburg, PA 17837 | 2014-04-15 |
| 1982045456 | Abdul Rahim Ali | Counselor | 32 Whisper Creek, Suite 8, Lewisburg, PA 17837 | 2013-07-12 |
| 1043593007 | Jill D Simone | Occupational Therapy Assistant | 911 Hillcrest Lane, Lewisburg, PA 17837 | 2011-09-26 |
| Find all providers in zip 17837 | ||||
| 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 |
|---|---|---|---|---|
| 1679920482 | Ryan Scott Wilson | Dentist | 3706 Davis Stuart Rd, Lewisburg, WV 24901-9463 | 2016-05-22 |
| 1790139202 | Robert Calem | Dentist | 151 James Rd, Lewisburg, PA 17837-8850 | 2016-04-20 |
| 1629432513 | Stephen Peter Ippolito Sr. | Dentist | 356 Springhouse Dr, Lewisburg, PA 17837-9417 | 2016-04-07 |
| 1396142485 | The Estate of P. Laray Rector | Dentist | 553 W Commerce St, Lewisburg, TN 37091 | 2014-12-04 |
| 1194987487 | Paul A. Romano, Dds, PC | Dentist | 728 Market St, Lewisburg, PA 17837-2703 | 2008-06-27 |
| 1558548800 | William Bell | Dentist | 113 The Acres, Lewisburg, TN 37091-2845 | 2008-01-29 |
| 1427261833 | Joyce Choa-yi Kim | Dentist | 111 Farley Cir, Lewisburg, PA 17837-9244 | 2007-05-08 |
| 1518027010 | Joseph H Williams | Dentist | 203 East Clay St, Lewisburg, OH 45338-0639 | 2006-12-12 |
| 1508926593 | Michael Julian Meadows | Dentist | Rr 02 Box 171a, Lewisburg, WV 24901 | 2006-12-11 |
| 1568561850 | John Woodson Carter | Dentist | 1085 N Ellington Pkwy, Lewisburg, TN 37091 | 2006-09-22 |
| Find all providers in LEWISBURG | ||||
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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.