INDIJU3DENTAL LLC (NPI# 1275073256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275073256 |
| Entity Type | Organization |
| Organization Name | INDIJU3DENTAL LLC |
| Other Organization Name | GREEN HILL DENTISTRY |
| Practice Address |
2121 Morgantown Rd. Reading PA 19607 |
| Practice Telephone | 7179918750 |
| Practice Fax Number | 7178651492 |
| Mailing Telephone | 7179918750 |
| Mailing Fax Number | 7178651492 |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |
| Authorized Official Name | DR. BARRY ALLYN MOSS (OWNER) |
| Authorized Official Telephone | 7179918750 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS-029748-L | PA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Green Hill Dentistry | Doing Business As Name - Organization |
| Street Address |
2121 MORGANTOWN RD. |
| City | READING |
| State | PA |
| Zip Code | 19607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518497759 | Kimberly Folk | Student in an Organized Health Care Education/Training Program | 628 Mountain View Road, Shillington, PA 19607 | 2017-06-19 |
| 1700315157 | Tomas Vicente | Home Health Aide | 1402 Liberty Ave, Reading, PA 19607 | 2017-06-08 |
| 1023438884 | Nightingale Devoted Care | Home Health | 106 Medinah Dr, Reading, PA 19607 | 2014-04-21 |
| 1861828477 | Lindsey Kayla Sullivan | Occupational Therapist | 29 Fawn Drive, Reading, PA 19607 | 2013-09-16 |
| 1063741288 | James S Rankin | Social Worker | 122 W. Lancaster Ave, Ste 203, Shillington, PA 19607 | 2009-12-17 |
| 1346492675 | Glenn T Thompson | Specialist/Technologist | 10 South Waverly Street, Shillington, PA 19607 | 2008-10-17 |
| 1225154107 | Drew Strawbridge | Occupational Therapy Assistant | 500 E. Philadelphia Ave, Shillington, PA 19607 | 2007-03-22 |
| 1134244775 | Gregory Scott Aulenbach | Dentist | 1439 New Holland Rd, Reading, PA 19607 | 2007-03-20 |
| 1831214659 | Joyce Perella | Occupational Therapist | 450 E. Philadelphia Ave, Shillington, PA 19607 | 2007-03-20 |
| 1013032952 | Deborah Henne | Speech-Language Pathologist | 500 E. Philadelphia Ave., Shillington, PA 19607 | 2007-03-20 |
| Find all providers in zip 19607 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629455324 | Pooja Ahuja | Dentist | 3302 North 5th Street Hwy, Dental Dreams LLC, Reading, PA 19605 | 2015-05-01 |
| 1902242829 | Cyril V Leddy Jr. | Dentist | 312 Lancaster Ave, Reading, PA 19611-1607 | 2013-05-19 |
| 1578832796 | Amdent Ltd | Dentist | 620 Kenhorst Plz, Reading, PA 19607-3648 | 2011-12-16 |
| 1760751978 | Amdent Ltd | Dentist | 5500 Perkiomen Ave, Reading, PA 19606-3634 | 2011-12-16 |
| 1598992638 | Ritu Manchanda | Dentist | 3302 N 5th Street Hwy, Reading, PA 19605-2427 | 2009-06-16 |
| 1407083876 | Rajiv Kolandaivelu | Dentist | 3302 North Fifth Street Highway, Reading, PA 19605 | 2009-06-12 |
| 1508007212 | Lawrence Abouseif | Dentist | 2942 Saint Lawrence Ave, Reading, PA 19606-2233 | 2009-03-11 |
| 1528217783 | Alla Shikhanovich | Dentist | 315 Main St Ste 101315, Reading, MA 01867 | 2008-09-11 |
| 1467645101 | Jared M Merin | Dentist | 2230 N 5th Street Hwy, Reading, PA 19605-2802 | 2007-08-27 |
| 1194925263 | Jon M Kanegawa | Dentist | 4462 Boyertown Pike, Reading, PA 19606 | 2007-07-18 |
| Find all providers in READING | ||||
Please comment or provide details below to improve the information on INDIJU3DENTAL LLC.
| 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.