DR. RANDALL L VALENTINE (NPI# 1528193653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528193653 |
| Entity Type | Individual |
| Full Name | DR. RANDALL L VALENTINE |
| Credential | DMD MSD |
| Practice Address |
3408 State Street Erie PA 16508 |
| Practice Telephone | 8144545256 |
| Practice Fax Number | 8144545258 |
| Mailing Telephone | 8144545256 |
| Mailing Fax Number | 8144545258 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DS017234 | PA | Dental Providers |
| Street Address |
3408 STATE STREET |
| City | ERIE |
| State | PA |
| Zip Code | 16508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417486705 | Robert Vance Danielson IIi | Specialist/Technologist | 3527 Maple St., Erie, PA 16508 | 2017-06-08 |
| 1336670785 | Judith Shaffer | Social Worker | 213 Gridley Ave, Erie, PA 16508 | 2017-03-27 |
| 1407253859 | Dr Natalie Teygart PC | Family Medicine | 939 West 38th St, Erie, PA 16508 | 2014-12-01 |
| 1417371311 | Psychological Health Services | Counselor | 956 West 38th Street, Erie, PA 16508 | 2014-02-12 |
| 1518210699 | Deerfield Behavioral Health, Inc. | Counselor | 2808 State Street, Erie, PA 16508 | 2012-10-26 |
| 1851675243 | Nutrition and Healing Center, Inc. | Chiropractor | 1455 West 38th Street, Suite 2, Erie, PA 16508 | 2011-10-04 |
| 1659659415 | Patricia Luisa Palotas | Counselor | 2170 West 32nd, Affinity Family Services, Inc, Erie, PA 16508 | 2011-07-28 |
| 1841581808 | Melissa M Wilson | Dietitian, Registered | 23 West 41st Street, Erie, PA 16508 | 2011-04-26 |
| 1649599374 | Amber A Kridler | Chiropractor | 1334 W. 26th St, Erie, PA 16508 | 2010-05-20 |
| 1023256427 | Christine Williamson | Occupational Therapist | 10 Summit Street, Erie, PA 16508 | 2009-01-23 |
| Find all providers in zip 16508 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962688275 | Michael Thomas Wilcko | Dentist | 6074 Peach St, Erie, PA 16509-3472 | 2008-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471913 | Martin L. Supowitz, Dmd, Msd, LLC | Dentist | 5433 Walnut St Ste 200, Pittsburgh, PA 15232-3215 | 2020-09-11 |
| 1780239228 | Hatboro Dental & Specialty LLC | Dentist | 122 N York Rd Ste 2, Hatboro, PA 19040-2622 | 2019-08-01 |
| 1679125835 | Amanda Marie Clemente | Dentist | 3501 Terrace St # B89, Pittsburgh, PA 15213-2523 | 2019-07-09 |
| 1235792458 | Fany Briseyda Ocampo | Dentist | 2137 Welsh Rd Ste 2a, Philadelphia, PA 19115-4963 | 2019-04-15 |
| 1043771447 | Kara Deanne Dragone | Dentist | 8890 Royal Manor Dr Apt 302, Allison Park, PA 15101-2783 | 2019-03-27 |
| 1801356423 | Nicholas Anzur | Dentist | 4225 Trindle Rd, Camp Hill, PA 17011-5752 | 2019-03-20 |
| 1992261036 | Manal Sabir | Dentist | 2200 Benjamin Franklin Pkwy Apt S1603, Philadelphia, PA 19130-3618 | 2019-02-13 |
| 1699242024 | Michael S Ayes Dds and Associates Pennsylvania Vi, PC | Dentist | 70 Buckwalter Rd Ste 309, Royersford, PA 19468-1846 | 2018-10-24 |
| 1043736051 | Miriam Ting | Dentist | 250 W Lancaster Ave Ste 215, Paoli, PA 19301-1751 | 2017-08-21 |
| 1104378611 | Natalie Amoa | Dentist | 8021b Castor Ave, Philadelphia, PA 19152-2733 | 2016-10-31 |
| Find all providers with the same taxonomy | ||||
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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.