DR. SERGES JOHN SALIVONCHIK (NPI# 1518070176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518070176 |
| Entity Type | Individual |
| Full Name | DR. SERGES JOHN SALIVONCHIK |
| Credential | D.M.D. |
| Practice Address |
5501 Macarthur Rd Whitehall PA 18052-1605 |
| Practice Telephone | 6105021545 |
| Practice Fax Number | 6105021544 |
| Mailing Telephone | 6105021545 |
| Mailing Fax Number | 6105021544 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS029386L | PA | Dental Providers |
| Street Address |
5501 MACARTHUR RD |
| City | WHITEHALL |
| State | PA |
| Zip Code | 18052-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710463526 | Whitehall Dental Group LLC | Clinic/Center | 5501 Macarthur Rd, Whitehall, PA 18052-1605 | 2018-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228870 | Alexandra Podlesny | Family Medicine | 1401 Fairmount St, Whitehall, PA 18052 | 2020-06-05 |
| 1346894805 | Christopher Guidon | Physician Assistant | 2402 Macarthur Rd., Whitehall, PA 18052 | 2019-08-01 |
| 1255824314 | Kenneth C Fulton-resig | Counselor | 4772 Main Street, Whitehall, PA 18052 | 2018-06-12 |
| 1023505294 | St. Luke's Physician Group, Inc. | Internal Medicine | 2416 3rd Avenue, Whitehall, PA 18052 | 2018-04-13 |
| 1831617869 | Veronica Taylor | Specialist | 4150 Red Bud Dr W, Whitehall, PA 18052 | 2017-08-30 |
| 1467800466 | Princy Ann Koshy | Family Medicine | 3691 Crescent Ct E Ste 201, Whitehall, PA 18052 | 2016-05-31 |
| 1649642612 | Renae N Defreitas | Nurse Practitioner | 2402 Macarthur Rd, Whitehall, PA 18052 | 2015-10-29 |
| 1063718856 | Christy Lynn Kroboth | Registered Nurse | 3000 Fellowship Drive, Whitehall, PA 18052 | 2011-01-27 |
| 1003134818 | Bruce C Trout | Pharmacist | 3671 Crescent Ct E., Whitehall, PA 18052 | 2010-05-04 |
| 1982921359 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 400 Lehigh Valley Mall, Whitehall, PA 18052 | 2010-04-26 |
| Find all providers in zip 18052 | ||||
| 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 |
|---|---|---|---|---|
| 1942686423 | Dennis K Sacry | Dentist | 108 1st St W # 549, Whitehall, MT 59759-7794 | 2015-08-06 |
| 1679803852 | Yacoub Inc | Dentist | 2123 N 1st Ave, Suite A2, Whitehall, PA 18052-3956 | 2010-01-11 |
| 1376775593 | Dental Dreams, LLC | Dentist | 2180 Macarthur Rd, Whitehall, PA 18052-4535 | 2009-08-21 |
| 1538209325 | Hsuan-li Lin | Dentist | 3646 E. Main Street, Whitehall, OH 43213 | 2007-02-08 |
| 1316095409 | Jeffrey J. Matthews | Dentist | 36220 Tower Dr, Whitehall, WI 54773-0005 | 2007-01-08 |
| 1508938986 | Dennis K Sacry Dds | Dentist | 108 First Street West, Whitehall, MT 59759 | 2006-11-14 |
| 1164516423 | Rodney M. Dobrowolski, Dmd, PC | Dentist | 828 3rd St, Whitehall, PA 18052-6624 | 2006-10-03 |
| 1568475739 | Robert F. Chisdak | Dentist | 3655 Municipal Dr, Whitehall, PA 18052-2923 | 2006-08-15 |
| 1215943238 | Timothy Scott Solan | Dentist | 819 3rd St, Whitehall, PA 18052-6623 | 2006-07-31 |
| 1639168701 | Whitehall Dental Assoc | Dentist | 450 Pershing Blvd, Whitehall, PA 18052-6452 | 2005-10-20 |
| Find all providers in WHITEHALL | ||||
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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.