KEYSTONE DENTAL PARTNERS LLC (NPI# 1467966713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467966713 |
| Entity Type | Organization |
| Organization Name | KEYSTONE DENTAL PARTNERS LLC |
| Other Organization Name | RED LION DENTAL |
| Practice Address |
411 S Main St Red Lion PA 17356-2412 |
| Practice Telephone | 7172461085 |
| Mailing Telephone | 7172461085 |
| Enumeration Date | 2017-11-24 |
| Last Update Date | 2017-11-24 |
| Authorized Official Name | DR. DAVID BLACK (DENTIST) |
| Authorized Official Telephone | 2022131544 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS040926 | PA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Red Lion Dental | Doing Business As Name - Organization |
| Street Address |
411 S MAIN ST |
| City | RED LION |
| State | PA |
| Zip Code | 17356-2412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619375714 | William H Payne Dds LLC | Dentist | 411 S Main St, Red Lion, PA 17356-2412 | 2014-12-05 |
| 1679793772 | Kevin John Kanya | Dentist | 411 S Main St, Red Lion, PA 17356-2412 | 2007-04-30 |
| 1932329034 | William H Payne | Dentist | 411 S Main St, Red Lion, PA 17356-2412 | 2007-04-30 |
| 1023162583 | Willliam H Payne Dds and Kevin Dds Dental Associates | Dentist | 411 S Main St, Red Lion, PA 17356-2412 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013308089 | Drayer Physical Therapy Institute LLC | Physical Therapist | 492 N Main Street, Red Lion, PA 17356 | 2015-02-12 |
| 1215224142 | Pamela Dudek | Social Worker | 160 Bahns Mill Rd., Red Lion, PA 17356 | 2011-06-29 |
| 1386867513 | Bell Club,inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 202 Cedar Street, Red Lion, PA 17356 | 2007-04-10 |
| 1033263181 | James Morris Isett | Dentist | 622 South Main Street, Red Lion, PA 17356 | 2007-01-23 |
| 1396385217 | Travis C Willow | Nurse Practitioner | 3141 Cape Horn Rd, Red Lion, PA 17356 | 2020-01-08 |
| 1093366080 | Maria Hoffman | Nurse Practitioner | 3065 Windsor Rd, Red Lion, PA 17356 | 2019-09-22 |
| 1811440050 | Sara Azam | Internal Medicine | 3065 Windsor Rd, Red Lion, PA 17356 | 2016-07-24 |
| 1649497421 | James M Isett Dds PC | Dentist | 622 South Main Street, Red Lion, PA 17356 | 2007-04-20 |
| 1023162278 | Steven Brent Chronister | Dentist | 622 South Main Street, Red Lion, PA 17356 | 2007-01-23 |
| 1912051061 | Laurie Isett Wise | Dentist | 622 South Main Street, Red Lion, PA 17356 | 2007-01-23 |
| Find all providers in zip 17356 | ||||
| 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 |
|---|---|---|---|---|
| 1033263181 | James Morris Isett | Dentist | 622 South Main Street, Red Lion, PA 17356 | 2007-01-23 |
| 1023620465 | Brittany Lynn Simmons | Dentist | 622 S Main St, Red Lion, PA 17356-2624 | 2020-08-18 |
| 1619375714 | William H Payne Dds LLC | Dentist | 411 S Main St, Red Lion, PA 17356-2412 | 2014-12-05 |
| 1679793772 | Kevin John Kanya | Dentist | 411 S Main St, Red Lion, PA 17356-2412 | 2007-04-30 |
| 1932329034 | William H Payne | Dentist | 411 S Main St, Red Lion, PA 17356-2412 | 2007-04-30 |
| 1649497421 | James M Isett Dds PC | Dentist | 622 South Main Street, Red Lion, PA 17356 | 2007-04-20 |
| 1033265673 | Resee Adair Waggoner Bick | Dentist | 622 South Main Street, Red Lion, PA 17356-2603 | 2007-01-26 |
| 1023162278 | Steven Brent Chronister | Dentist | 622 South Main Street, Red Lion, PA 17356 | 2007-01-23 |
| 1912051061 | Laurie Isett Wise | Dentist | 622 South Main Street, Red Lion, PA 17356 | 2007-01-23 |
| 1023162583 | Willliam H Payne Dds and Kevin Dds Dental Associates | Dentist | 411 S Main St, Red Lion, PA 17356-2412 | 2007-01-22 |
| Find all providers in RED LION | ||||
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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.