HAVERFORD DENTAL SPECIALISTS PC (NPI# 1154864791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154864791 |
| Entity Type | Organization |
| Organization Name | HAVERFORD DENTAL SPECIALISTS PC |
| Other Organization Name | HAVERFORD SMILES |
| Practice Address |
600 Haverford Rd Ste 202 Haverford PA 19041-1139 |
| Practice Telephone | 6106423009 |
| Mailing Telephone | 6106423009 |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2016-11-30 |
| Authorized Official Name | DR. JOHN L POTTER (PRESIDENT/OWNER/PERIODONTIST) |
| Authorized Official Telephone | 6106423009 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
DS029833L | PA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DS039985 | PA | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DSL028897L | PA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Haverford Smiles | Doing Business As Name - Organization |
| Street Address |
600 HAVERFORD RD STE 202 |
| City | HAVERFORD |
| State | PA |
| Zip Code | 19041-1139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861472474 | Priscilla P Chiu | Family Medicine | 600 Haverford Rd, Haverford, PA 19041-1139 | 2006-01-19 |
| 1447857313 | Meghan Devries | Psychologist | 600 Haverford Rd, Haverford, PA 19041-1139 | 2020-10-05 |
| 1174145429 | Laura Beth Carothers | Counselor | 600 Haverford Rd, Haverford, PA 19041-1139 | 2020-05-09 |
| 1891340493 | Megan Klobedanz | Counselor | 600 Haverford Rd, Haverford, PA 19041-1139 | 2019-08-09 |
| 1003388133 | Jillian Altomare | Counselor | 600 Haverford Rd, Haverford, PA 19041-1139 | 2018-12-31 |
| 1871082404 | Kimberly Nelson | Social Worker | 600 Haverford Rd, Haverford, PA 19041-1139 | 2018-05-09 |
| 1134637069 | Erika Mayer | Counselor | 600 Haverford Rd, Haverford, PA 19041-1139 | 2018-01-12 |
| 1740726017 | Jennifer Nichols | Nurse Practitioner | 600 Haverford Rd, Haverford, PA 19041-1139 | 2017-01-11 |
| 1700245180 | Mary L Fair | Social Worker | 600 Haverford Rd, Suite 201, Haverford, PA 19041-1139 | 2016-02-15 |
| 1225401268 | Avital Spiegel | Social Worker | 600 Haverford Rd, Suite 201, Haverford, PA 19041-1139 | 2015-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285172999 | Linda G Tessler | Psychologist | 103 Green Lane, Haverford, PA 19041 | 2017-02-02 |
| 1255626529 | Haverford College Health Services | Registered Nurse | 370 Lancaster Avenue, Haverford, PA 19041 | 2011-06-15 |
| 1316256050 | Deborah Jean Gunton | Psychologist | 349 West Lancaster Avenue, Suite 201, Haverford, PA 19041 | 2010-09-29 |
| 1629390695 | Moira L Kowalczyk | Occupational Therapist | 551 West Lancaster Avenue, Haverford, PA 19041 | 2010-02-18 |
| 1528398724 | John Antoniades | Radiology | 404 Richard Knoll, Haverford, PA 19041 | 2010-01-11 |
| 1215264262 | Robert Frederick Plotkin | Pediatrics | 3300 Darby Rd., Apt 1310, Haverford, PA 19041 | 2009-11-12 |
| 1396984662 | Joel E Wasley | Dentist | 268 West Montgomery Avenue, Haverford, PA 19041 | 2009-02-11 |
| 1538325105 | Joseph Anthony Gwiszcz Jr. | Pediatrics | 600 Haverford Road., Suite 100, Haverford, PA 19041 | 2008-08-04 |
| 1619142262 | Gregory Stephen Wilson | Occupational Therapist | 551 W Lancaster Avenue, Staffing Plus, Haverford, PA 19041 | 2008-04-24 |
| 1972790319 | Lene H Larsen | Psychologist | 349 W. Lancaster Avenue, Suite 103, Haverford, PA 19041 | 2007-10-01 |
| Find all providers in zip 19041 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471913 | Martin L. Supowitz, Dmd, Msd, LLC | Dentist | 5433 Walnut St Ste 200, Pittsburgh, PA 15232-3215 | 2020-09-11 |
| 1780239228 | Hatboro Dental & Specialty LLC | Dentist | 122 N York Rd Ste 2, Hatboro, PA 19040-2622 | 2019-08-01 |
| 1679125835 | Amanda Marie Clemente | Dentist | 3501 Terrace St # B89, Pittsburgh, PA 15213-2523 | 2019-07-09 |
| 1235792458 | Fany Briseyda Ocampo | Dentist | 2137 Welsh Rd Ste 2a, Philadelphia, PA 19115-4963 | 2019-04-15 |
| 1043771447 | Kara Deanne Dragone | Dentist | 8890 Royal Manor Dr Apt 302, Allison Park, PA 15101-2783 | 2019-03-27 |
| 1801356423 | Nicholas Anzur | Dentist | 4225 Trindle Rd, Camp Hill, PA 17011-5752 | 2019-03-20 |
| 1992261036 | Manal Sabir | Dentist | 2200 Benjamin Franklin Pkwy Apt S1603, Philadelphia, PA 19130-3618 | 2019-02-13 |
| 1699242024 | Michael S Ayes Dds and Associates Pennsylvania Vi, PC | Dentist | 70 Buckwalter Rd Ste 309, Royersford, PA 19468-1846 | 2018-10-24 |
| 1043736051 | Miriam Ting | Dentist | 250 W Lancaster Ave Ste 215, Paoli, PA 19301-1751 | 2017-08-21 |
| 1104378611 | Natalie Amoa | Dentist | 8021b Castor Ave, Philadelphia, PA 19152-2733 | 2016-10-31 |
| Find all providers with the same taxonomy | ||||
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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.