KELLYN W. HODGES, DMD, MS, PC (NPI# 1528668076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528668076 |
| Entity Type | Organization |
| Organization Name | KELLYN W. HODGES, DMD, MS, PC |
| Practice Address |
411 Doylestown Rd Unit D Montgomeryville PA 18936-9636 |
| Mailing Address |
Po Box 138 Gladwyne PA 19035-0138 |
| Practice Telephone | 2154129810 |
| Mailing Telephone | 6106457640 |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |
| Authorized Official Name | DR. KELLYN HODGES (OWNER) |
| Authorized Official Telephone | 6106457640 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Street Address |
411 DOYLESTOWN RD UNIT D |
| City | MONTGOMERYVILLE |
| State | PA |
| Zip Code | 18936-9636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174903967 | Danielle Teitelman | Dentist | 595 Bethlehem Pike Ste 302, Montgomeryville, PA 18936 | 2015-06-05 |
| 1871871731 | Advanced Urgent Care of Montgomeryville | Clinic/Center | 721 Bethlehem Pike, Montgomeryville, PA 18936 | 2011-07-26 |
| 1285720912 | Jill Erin Wezorek | Optometrist | 755 Bethelehem Pike, Suite 2a, Montgomeryville, PA 18936 | 2006-10-04 |
| 1487756201 | Mark Henry Bernstein | Psychiatry & Neurology | 593 Bethlehem Pike, Suite 4b, Montgomeryville, PA 18936 | 2006-09-02 |
| 1831155563 | William Brevard Gouger | Optometrist | 755 Bethlehem Pike, Ste 2a, Montgomeryville, PA 18936 | 2006-04-21 |
| 1407070568 | Arlene Caban-pocai | Psychologist | 595 Bethlehem Pike, Suite 201, Montgomeryville, PA 18936 | 2007-04-12 |
| 1225164957 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 755 Bethlehem Pike, Suite 2a, Montgomeryville, PA 18936 | 2007-02-26 |
| 1386789691 | For Eyes Optical Co, Inc | Optometrist | 755 Bethelehem Pike, Ste. 2, Montgomeryville, PA 18936 | 2007-02-21 |
| 1861593907 | Jane G Holland | Nurse Practitioner | 640 Bethlehem Pike, Montgomery, PA 18936 | 2006-09-25 |
| 1255386884 | Isaiah J. Abney | Family Medicine | 713 Bethlehem Pike, Montgomeryville, PA 18936 | 2006-05-23 |
| Find all providers in zip 18936 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183014 | Anthony Albert | Dentist | 601d Bethlehem Pike Ste 200, Montgomeryville, PA 18936-9713 | 2020-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100941 | Micah Yetter | Dentist | 106 Canyon Ct, Latrobe, PA 15650-2504 | 2020-09-23 |
| 1174137293 | Rebecca Nara Lee | Dentist | 1040 Dekalb Pike Ste 100, Blue Bell, PA 19422-1862 | 2020-09-04 |
| 1841809688 | Noor Tarazi | Dentist | 539 Championship Dr, Harleysville, PA 19438-2178 | 2020-07-28 |
| 1023626850 | Orchard of Smiles Orthodontics LLC | Dentist | 1629 Bridgetown Pike, Feasterville Trevose, PA 19053-4218 | 2020-07-17 |
| 1952919177 | Lam Bui | Dentist | 201 N 8th St Unit 413, Philadelphia, PA 19106-1012 | 2020-07-14 |
| 1316560592 | Lakeview Orthodontics Pllc | Dentist | 959 S Township Line Rd Ste G, Royersford, PA 19468-1823 | 2020-05-22 |
| 1598391344 | Sarah Larue | Dentist | 703 Tamarack Dr, Imperial, PA 15126-1156 | 2020-03-12 |
| 1437794047 | Pittsburgh Orthodontic Group | Dentist | 850 Clairton Blvd Ste 3200, Pittsburgh, PA 15236-4585 | 2019-11-07 |
| 1184275299 | Jake M Dorfman Dmd Pllc | Dentist | 345 Knowles Ave Ste 7, Southampton, PA 18966-4191 | 2019-09-20 |
| 1023665601 | Holly Gray | Dentist | 1812 Fitzwater St, Philadelphia, PA 19146-1852 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERYVILLE |
| Zip Code | 18936 |
Please comment or provide details below to improve the information on KELLYN W. HODGES, DMD, MS, PC.
| 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.