RADIANT DENTAL OF BEDFORD PC (NPI# 1356857932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356857932 |
Entity Type | Organization |
Organization Name | RADIANT DENTAL OF BEDFORD PC |
Practice Address |
902 Echo Vale Dr Bedford PA 15522-2010 |
Practice Telephone | 8146232217 |
Mailing Telephone | 8146232217 |
Enumeration Date | 2017-12-19 |
Last Update Date | 2017-12-19 |
Authorized Official Name | DR. KYLE DUMPERT (DENTIST/OWNER) |
Authorized Official Telephone | 8146232217 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
DS039587 | PA | Dental Providers |
Street Address |
902 ECHO VALE DR |
City | BEDFORD |
State | PA |
Zip Code | 15522-2010 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033190640 | Bedford Dental Professional Corp | Dentist | 902 Echo Vale Dr, Bedford, PA 15522 | 2005-11-10 |
1457791519 | Kyle Patrick Dumpert | Dentist | 902 Echo Vale Dr, Bedford, PA 15522-2010 | 2013-07-03 |
1619159464 | Randall K. Stuart | Dentist | 902 Echo Vale Dr, Bedford, PA 15522-2010 | 2007-12-04 |
1811177694 | William M. Stiffler | Dentist | 902 Echo Vale Dr, Bedford, PA 15522-2010 | 2007-11-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487253308 | Jennifer Ann Leibfreid | Pharmacist | 654 E Pitt St, Bedford, PA 15522 | 2020-10-21 |
1336632579 | Jesse Wolfe | Physical Therapist | 9613 Lincoln Hwy Ste 107, Bedford, PA 15522 | 2018-06-12 |
1730602178 | Jamie Dawn Wilson | Behavior Technician | 3759business 220 N, Suite 101, Bedford, PA 15522 | 2017-07-18 |
1649723529 | Gina Rievel | Physical Therapy Assistant | 320 E Watson Street, Bedford, PA 15522 | 2016-07-27 |
1295184356 | Megan Ann Diehl | Social Worker | 3759 Business Route 220 N., Suite 101, Bedford, PA 15522 | 2016-06-09 |
1275912644 | Alternative Community Resource Program | Public Health or Welfare | 3759 Business Rt. 220, Bedford, PA 15522 | 2015-05-19 |
1588002513 | Gennifer E Washington | Social Worker | 104 Blanche St, Bedford, PA 15522 | 2013-06-12 |
1942554787 | Kristen Susannah Kozak | Nurse Practitioner | Upmc Bedford Walk In Clinic, 420 E. Central Way, Bedford, PA 15522 | 2012-11-01 |
1861753576 | Kelly Nicole Ford | Social Worker | 5157 Business 220, Bedford, PA 15522 | 2012-05-30 |
1932465234 | Amberly Shaffer | Counselor | 3759 Business Rte. 220 N. Suite 101, Bedford, PA 15522 | 2012-04-11 |
Find all providers in zip 15522 |
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 |
---|---|---|---|---|
1720699556 | Kanza Tauqir | Dentist | 41 North Rd Ste 207, Bedford, MA 01730-1037 | 2020-08-14 |
1174022370 | Christopher A Emdin Dds Pllc | Dentist | 2200 Airport Fwy Ste 480, Bedford, TX 76022-6048 | 2018-02-03 |
1467907642 | Michael Chad Stapleton | Dentist | 2200 Airport Fwy, Suite 480, Bedford, TX 76022-6062 | 2016-08-17 |
1730569856 | Kyungsik Moon | Dentist | 22301 Rockside Rd, Bedford, OH 44146-1509 | 2015-06-03 |
1013324177 | Maria Patrick | Dentist | 3928 Silverwood Ln, Bedford, TX 76021-3041 | 2014-07-21 |
1487061784 | Phanidhar Venkata Reddy Sadda | Dentist | 200 Springs Road, Bldg #2, Dental Clinic, Bedford, MA 01730 | 2014-07-18 |
1659782977 | River Road Dental | Dentist | 173 S. River Rd, #5, Bedford, NH 03110 | 2014-05-09 |
1336414283 | Amir Kasouha | Dentist | 5210 Taylor Pond Ln, Bedford, MA 01730-4412 | 2012-03-11 |
1104103134 | Perla Dental of Bedford | Dentist | 2248 Central Dr, Bedford, TX 76021-5820 | 2011-11-04 |
1427334887 | Root Canal Clinic of North Texas | Dentist | 2201 Martin Dr Ste 200, Bedford, TX 76021-6081 | 2011-10-31 |
Find all providers in BEDFORD |
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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.