CAMERON COUNTY DENTAL CENTER (NPI# 1194805275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194805275 |
| Entity Type | Organization |
| Organization Name | CAMERON COUNTY DENTAL CENTER |
| Practice Address |
90 E 2nd St Emporium PA 15834-1302 |
| Mailing Address |
90 E 2nd St P.o. Box 270 Emporium PA 15834-1302 |
| Practice Telephone | 8144860909 |
| Practice Fax Number | 8144860404 |
| Mailing Telephone | 8144860909 |
| Mailing Fax Number | 8144860404 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL A. GALLUZZI (ADMINISTRATOR) |
| Authorized Official Telephone | 8144861115 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
90 E 2ND ST |
| City | EMPORIUM |
| State | PA |
| Zip Code | 15834-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710975768 | Jodi Rae Regulski | Physician Assistant | 90 E 2nd St, Emporium, PA 15834-1302 | 2005-10-12 |
| 1174173595 | Renee Mostyn | Dental Hygienist | 90 E 2nd St, Emporium, PA 15834-1302 | 2019-09-17 |
| 1285150227 | Savanah Marie Krivonyak | Dental Hygienist | 90 E 2nd St, Emporium, PA 15834-1302 | 2017-08-22 |
| 1215451927 | Kane Dental Center | Dentist | 90 E 2nd St, Emporium, PA 15834-1302 | 2017-08-03 |
| 1801338462 | Bryton Dybowski | Physician Assistant | 90 E 2nd St, Emporium, PA 15834-1302 | 2016-11-14 |
| 1902259419 | Tyler Vonberge | Dentist | 90 E 2nd St, Emporium, PA 15834-1302 | 2016-07-20 |
| 1659638393 | Youna Han | Dentist | 90 E 2nd St, Emporium, PA 15834-1302 | 2012-04-19 |
| 1962773606 | Lauren Yetzer Shaver | Physician Assistant | 90 E 2nd St, Emporium, PA 15834-1302 | 2012-01-25 |
| 1285849919 | Victor Lahnovych | Family Medicine | 90 E 2nd St, Emporium, PA 15834-1302 | 2007-05-14 |
| 1861580045 | Patricia A Rupert | Social Worker | 90 E 2nd St, Emporium, PA 15834-1302 | 2006-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396940771 | Donna Mckimm | Registered Nurse | 3225 Rich Valley Rd, Emporium, PA 15834 | 2007-06-18 |
| 1346207925 | A Blair Lundberg | Pharmacist | 34 East 4th St, Emporium, PA 15834 | 2006-04-27 |
| 1225487895 | Robin Hammersley | Nurse Practitioner | 416 N Broad St, Emporium, PA 15834 | 2016-06-06 |
| 1740334549 | Joel & June Caldwell Inc | Durable Medical Equipment & Medical Supplies | 105 4th St, Emporium, PA 15834 | 2007-01-22 |
| 1518167584 | Charles A. Blumle D.d.s., P.C. | Dentist | 404 N Maple St, Emporium, PA 15834-1225 | 2007-07-18 |
| 1669634572 | Charles A Blumle | Dentist | 404 N Maple St, Emporium, PA 15834-1225 | 2008-07-01 |
| 1659484285 | Cameron County Ambulance Service Inc. | Ambulance | 299 East 2nd Street, Emporium, PA 15834-1339 | 2006-08-17 |
| 1801853064 | William F Wittman | Nurse Practitioner | 416 N Broad St, Emporium, PA 15834-1402 | 2006-04-28 |
| 1245858109 | Elk Regional Health Center | Family Medicine | 416 N Broad St, Emporium, PA 15834-1402 | 2020-07-08 |
| 1386008720 | Dubois Regional Medical Center | Family Medicine | 416 N Broad St, Emporium, PA 15834-1402 | 2016-04-12 |
| Find all providers in zip 15834 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306278 | Maria B Mezzanotte Dds LLC | Clinic/Center | 3409 Wilmington Rd, New Castle, PA 16105-3209 | 2020-11-04 |
| 1952901704 | Prime Dental Associates, LLC | Clinic/Center | 101 Old York Rd Ste 401, Jenkintown, PA 19046-3912 | 2020-10-30 |
| 1194324897 | Jignesh Rudani Dmd PC | Clinic/Center | 3400 Bath Pike Ste 200, Bethlehem, PA 18017-2484 | 2020-10-22 |
| 1710585815 | Tpg Dmd, LLC | Clinic/Center | Grande Plaza 1103 Rocky Dr, Suite 205, West Lawn, PA 19609 | 2020-10-12 |
| 1427665751 | Chandan Dental Associates | Clinic/Center | 3242 S Main Street, Sandy Lake, PA 16145 | 2020-09-30 |
| 1578175733 | Columbia Dental LLC | Clinic/Center | 846 Lancaster Ave, Columbia, PA 17512-2206 | 2020-08-19 |
| 1043820749 | David B. Killian, Dmd, PC | Clinic/Center | 305 S. Hanover Street, Carlisle, PA 17013 | 2020-08-06 |
| 1427667336 | Indiju 4 Dental LLC | Clinic/Center | 4240 Oregeon Pk., Ephrata, PA 17522 | 2020-07-27 |
| 1902415276 | Ragland Orthodontics | Clinic/Center | 800 Edgewood Rd Ste 1, York, PA 17402-4379 | 2020-07-23 |
| 1356950604 | Jamison Innovative Dentistry PC | Clinic/Center | 2370 Old York Rd Ste D1, Jamison, PA 18929-1031 | 2020-07-23 |
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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.