DR. EDAN BLUMENTHAL (NPI# 1235262601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235262601 |
| Entity Type | Individual |
| Full Name | DR. EDAN BLUMENTHAL |
| Credential | DMD |
| Practice Address |
1003 Baltimore Pike Media PA 10963 |
| Mailing Address |
1003 E Baltimore Pike Media PA 19063-5135 |
| Practice Telephone | 6108910940 |
| Mailing Telephone | 6108910940 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2009-01-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS026210 | PA | Dental Providers |
| Street Address |
1003 BALTIMORE PIKE |
| City | MEDIA |
| State | PA |
| Zip Code | 10963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598077174 | Courtney Jean Rosen | Occupational Therapist | 293 Robbins Road, Otisville, NY 10963 | 2010-07-12 |
| 1407063373 | Diane Rita Sommer | General Practice | 2 Mile Drive, Otisville, NY 10963 | 2007-05-17 |
| 1578681383 | John William Claar | Pharmacist | 2 Mile Dr, Fci Otisville Pharmacy, Otisville, NY 10963 | 2007-03-27 |
| 1538188834 | Otisville Mt. Hope Volunteer Ambulance | Ambulance | 60 State Str, Otisville, NY 10963 | 2006-07-18 |
| 1457910929 | Jayne Alice Vander Hey-wright | Physician Assistant | 2 Mile Drive, Otisville, NY 10963 | 2019-06-10 |
| 1679759435 | Jean Vincent Perrot | Pharmacist | 722 Rt 6 and 209, 722 Rt 6 and 209, Matamoras, PA 10963-0000 | 2008-01-11 |
| 1710310461 | Federal Correctional Institution, Otisville | Clinic/Center | Two Mile Drive, Otisville, NY 10963-0600 | 2013-08-16 |
| 1417127739 | Joan Marie Muino | Social Worker | 9 Otis Cir, Otisville, NY 10963-2234 | 2008-03-03 |
| 1598130395 | Tracy Moore | Licensed Practical Nurse | 2 Laura Ln, Otisville, NY 10963-2316 | 2015-12-04 |
| 1972686426 | Lisa Marie Hahne | Occupational Therapy Assistant | 3 Laura Ln, Otisville, NY 10963-2318 | 2006-10-20 |
| Find all providers in zip 10963 | ||||
| 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 |
|---|---|---|---|---|
| 1699231118 | Media Dental Associates Dmd LLC | Dentist | 511 N Providence Rd, Media, PA 19063-2518 | 2019-02-20 |
| 1700127859 | Sepideh Sazegari | Dentist | 1180 W Baltimore Pike, Media, PA 19063-5128 | 2013-03-13 |
| 1083961056 | Joseph John Paradine | Dentist | 350 S. Providence Rd, Media, PA 19063 | 2012-08-09 |
| 1679720577 | Levente Zsolt Bodak-gyovai | Dentist | 50 Wyncroft Dr, Media, PA 19063-4842 | 2008-08-21 |
| 1255536546 | Jaclyn Meredith Wertheimer | Dentist | 610 E Baltimore Pike, Media, PA 19063-1750 | 2007-06-18 |
| 1134330343 | Braden Dental Group | Dentist | 214 State Rd, Media, PA 19063-1319 | 2007-05-28 |
| 1437373529 | Gregory A. Hillyard | Dentist | 47 State Rd, Media, PA 19063-1544 | 2007-04-12 |
| 1023232873 | American Dental Care PC | Dentist | 1003 E Baltimore Pike, Media, PA 19063-5135 | 2007-04-12 |
| 1821114745 | Media Smiles PC | Dentist | 1215 W Baltimore Pike Ste 12, Media, PA 19063-5540 | 2007-03-22 |
| 1013031020 | William R. Gilkey | Dentist | 1003 West Baltimore Pk., Media, PA 19063-5121 | 2007-03-16 |
| Find all providers in MEDIA | ||||
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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.