DAY DENTAL ANESTHESIA (NPI# 1174188486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174188486 |
| Entity Type | Organization |
| Organization Name | DAY DENTAL ANESTHESIA |
| Practice Address |
2636 Killen School Road Nicktown PA 15762 |
| Mailing Address |
Po Box 181 Nicktown PA 15762-0181 |
| Practice Telephone | 8142447241 |
| Mailing Telephone | 8142447241 |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-05-02 |
| Authorized Official Name | BREANNA M DAY (DENTIST ANESTHESIOLOGIST) |
| Authorized Official Telephone | 8142447241 |
| Authorized Official Credential | DMD, DA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1031028020001 | 05 |
| Street Address |
2636 KILLEN SCHOOL ROAD |
| City | NICKTOWN |
| State | PA |
| Zip Code | 15762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184140535 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 3278 Blue Goose Road, Nicktown, PA 15762 | 2017-08-17 |
| 1518279025 | Nancy Louise Boring | Occupational Therapist | 243 Log Rd, Nicktown, PA 15762-8208 | 2010-07-13 |
| 1386089431 | Breanna M Weiland | Dentist | 549 Ridge Rd, Nicktown, PA 15762-8605 | 2013-05-02 |
| 1124682083 | Marina Bolinger | Behavioral Analyst | 634 Dutch Run Rd, Nicktown, PA 15762-8710 | 2019-04-26 |
| Taxonomy Code | 1223D0004X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dentist Anesthesiologist |
| A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. |
| Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386089431 | Breanna M Weiland | Dentist | 549 Ridge Rd, Nicktown, PA 15762-8605 | 2013-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487172359 | Kiddos PC | Dentist | 6583 State Route 819 S Ste 1, Mt Pleasant, PA 15666-3503 | 2017-08-31 |
| 1336532712 | Soonjae Joseph Lee | Dentist | 1710 E Lancaster Ave # 311, Paoli, PA 19301-1507 | 2015-03-10 |
| 1285047431 | Premiere Anesthesia for Dentistry | Dentist | 106 Village Pl, Wexford, PA 15090-5611 | 2014-06-05 |
| 1215379060 | Christopher Gushue | Dentist | 2804 Ledge Dr, Clarks Summit, PA 18411-9573 | 2013-07-22 |
| 1083792634 | Jeffrey William Martz | Dentist | 10154 Woodbury Dr, Wexford, PA 15090-9580 | 2006-11-01 |
| 1619910270 | Lawson Alan Wilkinson | Dentist | 2 Parkway Ctr, Suite G-1, Pittsburgh, PA 15220-3510 | 2006-06-13 |
| 1114982873 | Thomas Frank Cwalina | Dentist | 257 Pittsburgh Rd, Butler, PA 16002-3953 | 2006-04-18 |
| 1356956023 | Pennsylvania Mobile Anesthesia Associates, LLC | Dentist | 234 S Main St, Slippery Rock, PA 16057-1247 | 2020-09-10 |
| 1952929853 | Christopher L Lewis Dmd | Dentist | 159 Dutch Rd, Harmony, PA 16037-9215 | 2020-07-08 |
| 1770104846 | Anesthesia Associates of Central Pa | Dentist | 1019 Ghaner Rd, Port Matilda, PA 16870-7235 | 2020-04-30 |
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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.