ROBERT M CHIDECKEL,DMD (NPI# 1326179524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326179524 |
| Entity Type | Organization |
| Organization Name | ROBERT M CHIDECKEL,DMD |
| Practice Address |
3309 Edgmont Ave Brookhaven PA 19015-2830 |
| Practice Telephone | 6108768038 |
| Practice Fax Number | 6108762910 |
| Mailing Telephone | 6108768038 |
| Mailing Fax Number | 6108762910 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT MARK CHIDECKEL (DENTIST) |
| Authorized Official Telephone | 6108768038 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS022107L | PA | Dental Providers |
| Street Address |
3309 EDGMONT AVE |
| City | BROOKHAVEN |
| State | PA |
| Zip Code | 19015-2830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588930648 | Media Dental Care | Dentist | 3309 Edgmont Ave, Brookhaven, PA 19015-2830 | 2012-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487262614 | Hometown Rx Services | Pharmacy | 3406 Edgmont Avenue, Suite B, Brookhaven, PA 19015 | 2020-07-14 |
| 1932650926 | Giant Food Stores LLC | Durable Medical Equipment & Medical Supplies | 4930 Edgemont Ave, Brookhaven, PA 19015 | 2016-10-14 |
| 1982009254 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 225 Upland Road, Brookhaven, PA 19015 | 2014-10-29 |
| 1790959633 | Darlene M Longstreth | Massage Therapist | 3766 Susan Lane, Kinderssage, Brookhaven, PA 19015 | 2008-04-22 |
| 1538205463 | Scott Thomas Steltz | Pharmacist | 601 Upland Ave Suite 112, Steltec Pharmacy - Crozier Mills Enterprise Center, Upland, PA 19015 | 2007-01-29 |
| 1083769327 | Parkside Fire Company | Ambulance | 107 West Roland, Parkside, PA 19015 | 2007-01-25 |
| 1295894699 | Elizabeth Katherine Deegan | Counselor | 4928 Shepard St., Brookhaven, PA 19015 | 2006-12-08 |
| 1013093244 | Jeffrey Keith Rosen | Family Medicine | 100 East Brookhaven Rd, Brookhaven, PA 19015 | 2006-10-31 |
| 1013015726 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3298 Edgemont Ave, Brookhaven, PA 19015 | 2006-09-20 |
| 1285743187 | Micheal A Erbicella | Dentist | 3213 Edgmont Ave, Brookhaven, PA 19015 | 2006-08-30 |
| Find all providers in zip 19015 | ||||
| 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 |
|---|---|---|---|---|
| 1023653557 | Mcnumb Dental PC | Dentist | 1441 Dresden Dr Ne Ste 250, Brookhaven, GA 30319-3585 | 2019-11-07 |
| 1124470240 | Gamble Dentalsmart, PC | Dentist | 3307 Buford Hwy Ne, Brookhaven, GA 30329-1709 | 2016-07-13 |
| 1205138708 | Dr Daniel J Patti D.m.d., Pa | Dentist | 439 North Jackson St., Suite E, Brookhaven, MS 39601-2912 | 2010-12-03 |
| 1841435609 | Catherine Anne West | Dentist | 130 E Brookhaven Rd, Brookhaven, PA 19015-2310 | 2008-12-09 |
| 1467616821 | Nicolas A Belk | Dentist | 321 W Cherokee St, Brookhaven, MS 39601-3219 | 2008-07-15 |
| 1922203306 | Brookhaven Smile Center, Inc | Dentist | 1381 Johnny Johnson Dr, Brookhaven, MS 39601-9641 | 2007-06-18 |
| 1982728580 | Jeremy Drew King | Dentist | 1381 Johnny Johnson Drive, Brookhaven, MS 39601-9641 | 2007-03-19 |
| 1164546123 | Richard Francis Blonski | Dentist | 2910 Edgmont Ave, Brookhaven, PA 19015-3202 | 2007-03-16 |
| 1508903048 | Swati M Kandalkar | Dentist | 13 Corporate Blvd Ne Ste 120, Brookhaven, GA 30329-1905 | 2007-02-01 |
| 1104972488 | Nancy Jane Myerson | Dentist | 3575 Durden Dr Ne Ste 102, Brookhaven, GA 30319 | 2007-01-26 |
| Find all providers in BROOKHAVEN | ||||
| City | BROOKHAVEN |
| Zip Code | 19015 |
Please comment or provide details below to improve the information on ROBERT M CHIDECKEL,DMD.
| 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.