DENTAL PROFESSIONALS OF PENNSYLVANIA, PC (NPI# 1174993588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174993588 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONALS OF PENNSYLVANIA, PC |
| Other Organization Name | WASHINGTON FAMILY DENTAL CARE |
| Practice Address |
10 Old Mill Blvd Washington PA 15301-6738 |
| Practice Telephone | 7242166631 |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |
| Authorized Official Name | KENDRA WALKER (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175408312 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTAL PROFESSIONALS OF PENNSYLVANIA, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Washington Family Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740648005 | Dental Professionals of Pennsylvania, PC | Dentist | 3013 E Market St, Suite 100, York, PA 17402-2502 | 2016-02-02 |
| 1679947063 | Dental Professionals of Pennsylvania, PC | Dentist | 6185 State Route 30, Suite A, Greensburg, PA 15601-6408 | 2015-11-23 |
| 1760854392 | Dental Professionals of Pennsylvania, PC | Dentist | 4727 Freemansburg Ave, Suite 104, Easton, PA 18045 | 2015-10-22 |
| 1528439742 | Dental Professionals of Pennsylvania, PC | Dentist | 1751 Wilmington Pike, Suite F-2, F-3, Glen Mills, PA 19342 | 2015-10-14 |
| 1053772442 | Dental Professionals of Pennsylvania, PC | Dentist | 2323 Linglestown Road, Unit 201a, Harrisburg, PA 17110 | 2016-03-11 |
| Street Address |
10 OLD MILL BLVD |
| City | WASHINGTON |
| State | PA |
| Zip Code | 15301-6738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144656380 | Ashley Nicole Kidd | Dentist | 10 Old Mill Blvd, Washington, PA 15301-6738 | 2013-09-19 |
| 1477112738 | Solemanul Haque | Dentist | 10 Old Mill Blvd, Washington, PA 15301-6738 | 2019-06-11 |
| 1538645809 | Sara Marie Barna | Dentist | 10 Old Mill Blvd, Washington, PA 15301-6738 | 2018-07-19 |
| 1538511696 | Thomas Korpar | Dentist | 10 Old Mill Blvd, Washington, PA 15301-6738 | 2016-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601208 | Tammi Kathleen Hanak | Speech-Language Pathologist | 2212 Shawnee Drive, Address Line 2, Washington, PA 15301 | 2020-02-21 |
| 1922652460 | Shannon Rouse | Nurse Practitioner | 95 Leonard Avenue Building 2 2nd Floor, Washington, PA 15301 | 2019-08-01 |
| 1700352291 | Heather Mcvay PC | Clinic/Center | 2112 North Franklin Dr, Suite 3, Washington, PA 15301 | 2018-10-23 |
| 1689169880 | Oper King | Counselor | 8 Oliver Rd, Oliver Square Suite 116, Uniontown, PA 15301 | 2018-06-29 |
| 1609374701 | Centerville Clinics Inc | Social Worker | 201 Allison Ave, Washington High School, Washington, PA 15301 | 2018-01-24 |
| 1902304009 | Centerville Clinics, Inc. | Social Worker | 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 | 2018-01-24 |
| 1780182873 | Centerville Clinics, Inc | Social Worker | 252 Cameron Road, Trinity East Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1700384807 | Centerville Clinics Inc | Social Worker | 801 East Wheeling St., Washington Park Elementary, Washington, PA 15301 | 2018-01-24 |
| 1992203095 | Centerville Clinics Inc | Social Worker | 2500 South Main St Ext., Trinity South Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1578061784 | Centerville Clinics, Inc. | Social Worker | 225 Midland Drive, Trinity North Elelmentary School, Washington, PA 15301 | 2018-01-23 |
| Find all providers in zip 15301 | ||||
| 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 |
|---|---|---|---|---|
| 1508470196 | Benise Nnawuihe | Dentist | 55 M St Se, Washington, DC 20003-3522 | 2020-09-01 |
| 1124636139 | Amma Boateng | Dentist | 3651 Winfield Ln Nw, Washington, DC 20007-2385 | 2020-07-15 |
| 1760008841 | Kaitlin Elise Delaney | Dentist | 2021 K St Nw Ste 720, Washington, DC 20006-1003 | 2020-06-24 |
| 1710500871 | Robert Scott Mckernan | Dentist | 55 M St Ne Apt Ph210, Washington, DC 20002-3298 | 2020-05-24 |
| 1629691092 | City Dental Dc- 2055 L, Pllc | Dentist | 2075 L Street, Nw, Washington, DC 20036 | 2020-05-20 |
| 1275174351 | Roberts Brown & Associates | Dentist | 4300 Wheeler Rd Se, Washington, DC 20032-6036 | 2019-10-01 |
| 1841848421 | Tayler Yvette Keith Jackson | Dentist | 509 11th St Se, Washington, DC 20003-2831 | 2019-08-28 |
| 1639726243 | Matias Cima | Dentist | 4400 Jenifer St Nw Ste 340, Washington, DC 20015-2086 | 2019-08-20 |
| 1770145328 | Lydia Ileana Goodson | Dentist | 525 S, Ia-1, Washington, IA 52353-5235 | 2019-07-03 |
| 1346800356 | Mallory Kist | Dentist | 366 Washington Rd, Washington, PA 15301-2702 | 2019-06-20 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 15301 |
Please comment or provide details below to improve the information on DENTAL PROFESSIONALS OF PENNSYLVANIA, PC.
| 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.