JK ENDODONTICS (NPI# 1245747583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245747583 |
| Entity Type | Organization |
| Organization Name | JK ENDODONTICS |
| Practice Address |
555 Second Ave Ste G-108 Collegeville PA 19426-3600 |
| Practice Telephone | 6108311901 |
| Mailing Telephone | 6108311901 |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |
| Authorized Official Name | KANG M LEE (PRESIDENT) |
| Authorized Official Telephone | 6108311901 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| Street Address |
555 SECOND AVE STE G-108 |
| City | COLLEGEVILLE |
| State | PA |
| Zip Code | 19426-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057040 | Oswaldo Giovanni Tagle Manrique | Physician Assistant | 1200 Mokychic Road, Collegeville, PA 19426 | 2019-11-13 |
| 1639722507 | Child & Family Focus Inc | Community/Behavioral Health | 121 Wartman Road, Perkiomen Township, PA 19426 | 2019-07-19 |
| 1487116299 | Joshua Heinsheimer | Dentist | 241-3 Plaza Drive, Collegeville, PA 19426 | 2019-04-01 |
| 1093284101 | Courtney Cione | Nurse Practitioner | 1200 Mokychic Rd., Collegeville, PA 19426 | 2018-11-19 |
| 1538645007 | Linda Kathleen Muller | Registered Nurse | 369 Avon Ave, Collegeville, PA 19426 | 2018-07-17 |
| 1215445333 | Mary Catherine Campetti | Nurse Practitioner | 555 Second Ave Ste C-850, Collegeville, PA 19426 | 2018-01-11 |
| 1831606292 | Kevin Titze | Counselor | 3819 Germantown Pike Ste B, Collegeville, PA 19426 | 2018-01-08 |
| 1942727441 | Naomi Avoline Kim | Counselor | 555 2nd Ave, Building B, Suite 101, Collegeville, PA 19426 | 2017-08-24 |
| 1376086348 | Kelly Robin Durante | Nurse Practitioner | 433 Komen Ct., Collegeville, PA 19426 | 2016-11-23 |
| 1558817262 | Joseph Kosto | Pharmacist | 1219 Taylor Way, Collegeville, PA 19426 | 2016-09-01 |
| Find all providers in zip 19426 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316088636 | Carolyn Ann Phillips | Dentist | 555 2nd Ave, G 108, Collegeville, PA 19426-3600 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659982817 | Hallie Rose Landy | Dentist | 2101 Chestnut St Unit 1426, Philadelphia, PA 19103-3138 | 2020-08-12 |
| 1720696123 | Jmk Endodontics LLC | Dentist | 2 Meridian Blvd Ste 216, Wyomissing, PA 19610-3202 | 2020-07-21 |
| 1770105009 | Nhan James Huu Ngo | Dentist | 215 Upland Sq Dr, Pottstown, PA 19464-9427 | 2020-05-08 |
| 1528627130 | Butler Endodontics | Dentist | 1140 N Main Street Ext, Butler, PA 16001-1957 | 2019-06-07 |
| 1518525138 | Melanie Elizabeth Wallace Martel | Dentist | 600 W Dekalb Pike Ste 301, King of Prussia, PA 19406-3060 | 2019-05-29 |
| 1235794215 | Chester County Endodontics, PC | Dentist | 404 Mcfarlan Rd Ste 302, Kennett Square, PA 19348-2479 | 2019-05-06 |
| 1487147039 | Three Rivers Endodontics East LLC | Dentist | 5770 Baum Blvd Ste 150, Pittsburgh, PA 15206-3763 | 2018-06-08 |
| 1558868182 | Downtown Endodontics, LLC | Dentist | 125 Sixth Street, Suite A, Pittsburgh, PA 15222 | 2018-04-10 |
| 1194173377 | David Shin | Dentist | 3945 Chestnut St Apt 405, Philadelphia, PA 19104-3626 | 2016-05-29 |
| 1689028128 | Storb Dental, LLC | Dentist | 422 Maple St., Terre Hill, PA 17581 | 2016-04-21 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGEVILLE |
| Zip Code | 19426 |
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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.