DMG - SOUTH MAIN, LLC (NPI# 1164575957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164575957 |
| Entity Type | Organization |
| Organization Name | DMG - SOUTH MAIN, LLC |
| Other Organization Name | CAPUTO DENTAL |
| Practice Address |
506 S Main St Suite 2103 Zelienople PA 16063-1603 |
| Mailing Address |
5000 Mcknight Rd Suite 403 Pittsburgh PA 15237-3420 |
| Practice Telephone | 7244531200 |
| Practice Fax Number | 7244521585 |
| Mailing Telephone | 4123668745 |
| Mailing Fax Number | 4123668737 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2009-04-28 |
| Authorized Official Name | DR. RUSSELL J CAPUTO (OWNER) |
| Authorized Official Telephone | 4126350710 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS026835L | PA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Caputo Dental | Doing Business As Name - Organization |
| Street Address |
506 S MAIN ST SUITE 2103 |
| City | ZELIENOPLE |
| State | PA |
| Zip Code | 16063-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235681420 | Zelienople Smiles, Family and Implant Dentistry, LLC | Clinic/Center | 506 S Main St, Suite 2103, Zelienople, PA 16063-1603 | 2016-11-04 |
| 1548491459 | John David Avolio | Dentist | 506 S Main St, #2103, Zelienople, PA 16063-1603 | 2009-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134756125 | Juliet Elizabeth Wahlenmayer | Counselor | 50 St Stephens Drive, Zelienople, PA 16063 | 2020-03-27 |
| 1942792858 | Sbk4 Management, LLC | Home Health | 2410 Perry Hwy, Unit 410-f, Zelienople, PA 16063 | 2018-06-06 |
| 1275917288 | Dennis Curcio | Counselor | 70 Beaver Rd, Zelienople, PA 16063 | 2015-07-20 |
| 1003246547 | Lutheran Seniorlife | Clinic/Center | 400 West Culvert Street, Zelienople, PA 16063 | 2013-11-20 |
| 1619129806 | Steven Everett Watson | Physical Therapist | 115 E. New Castle St., Eagle Physical Therapy, Zelienople, PA 16063 | 2008-10-21 |
| 1013076389 | Gregory William Long | Dentist | 207 Emerson Drive, Zelienople, PA 16063 | 2006-12-06 |
| 1700977949 | Marion & Mcneil Smile Center | Dentist | 111 South High St, Zelienople, PA 16063 | 2006-09-27 |
| 1003914078 | Charu S Chandra | Dentist | 222 South Clay St, Suite 102, Zelienople, PA 16063 | 2006-09-21 |
| 1720534365 | Christin Hudock | Speech-Language Pathologist | 105 Burgess Dr, Zelienople, PA 16063 | 2016-09-01 |
| 1558798967 | Kiley E Librich | Counselor | 70 Beaver Road, Zelienople, PA 16063 | 2013-09-30 |
| Find all providers in zip 16063 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063451540 | Dennis D Hamilton | Dentist | 214 W Grandview Ave, Zelienople, PA 16063-1137 | 2006-06-06 |
| 1932191418 | Korwin King | Dentist | 116 E Grandview Ave, Zelienople, PA 16063-1131 | 2005-08-19 |
| 1427498500 | Mark A Marion | Dentist | 111 S High St, Zelienople, PA 16063-1367 | 2013-07-03 |
| 1548491459 | John David Avolio | Dentist | 506 S Main St, #2103, Zelienople, PA 16063-1603 | 2009-07-27 |
| 1043407067 | Phillips Family Practice | Dentist | 204 N Main St, Zelienople, PA 16063-2306 | 2007-10-03 |
| 1023141181 | Grandview Dental, P.C. | Dentist | 116 E Grandview Ave, Zelienople, PA 16063-1131 | 2007-03-14 |
| 1346334372 | Jeremiah Bondra | Dentist | 214 W Grandview Ave, Zelienople, PA 16063-1137 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760087 | Rg Dental Group of Richboro, LLC | Dentist | 56 Newtown Richboro Rd., Suite 1, Richboro, PA 18954 | 2020-11-02 |
| 1790385581 | Samir Zahedpasha | Dentist | 1933 Delancey Pl, Philadelphia, PA 19103-6611 | 2020-10-29 |
| 1225636087 | Clark Dental Associates, LLC | Dentist | 7 Bala Ave Ste 301, Bala Cynwyd, PA 19004-3205 | 2020-10-14 |
| 1336747450 | Drexel Hill Smiles PC | Dentist | 4605 State Rd, Drexel Hill, PA 19026-4423 | 2020-10-12 |
| 1568074631 | Haley Ciccarelli | Dentist | 3475 W Chester Pike Ste 220, Newtown Square, PA 19073-4291 | 2020-08-20 |
| 1770195000 | Steven Dodson | Dentist | 7573 Woodbury Pike, Roaring Spring, PA 16673-1601 | 2020-08-18 |
| 1376154807 | Katherine Marie Stranieri | Dentist | 127 S Spring Garden St, Ambler, PA 19002-4726 | 2020-08-10 |
| 1407466162 | Christa A Musto | Dentist | 575 Pierce St Ste 201, Kingston, PA 18704-5700 | 2020-08-06 |
| 1669082632 | Nepa Dental Group, Inc | Dentist | 920 Wyoming Ave Ste 104, Forty Fort, PA 18704-3970 | 2020-08-05 |
| 1184234023 | Bucks County Dental Design, PC | Dentist | 95 Almshouse Rd Ste 201, Richboro, PA 18954-1155 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
| City | ZELIENOPLE |
| Zip Code | 16063 |
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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.