LANSDALE PERIODONTAL ASSOCIATES, PC (NPI# 1710355102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710355102 |
| Entity Type | Organization |
| Organization Name | LANSDALE PERIODONTAL ASSOCIATES, PC |
| Practice Address |
2100 N Broad St Ste 204 Lansdale PA 19446-1052 |
| Practice Telephone | 2153685110 |
| Practice Fax Number | 2153682017 |
| Mailing Telephone | 2153685110 |
| Mailing Fax Number | 2153682017 |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |
| Authorized Official Name | DR. HOWARD GROSS (PRESIDENT) |
| Authorized Official Telephone | 2153685110 |
| Authorized Official Credential | D.D.S., M.SC.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DS036734 | PA | Dental Providers |
| Street Address |
2100 N BROAD ST STE 204 |
| City | LANSDALE |
| State | PA |
| Zip Code | 19446-1052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457315731 | Margaret Mary Simcox | Internal Medicine | 2100 N Broad St, Lansdale, PA 19446-1052 | 2006-04-13 |
| 1962936567 | Abington Memorial Hospital | Surgery | 2100 N Broad St, Lansdale, PA 19446-1052 | 2017-04-20 |
| 1295177921 | Priya E Jesudason | Dentist | 2100 N Broad St, Lansdale, PA 19446-1052 | 2013-07-23 |
| 1073847521 | Lance M Coben | Dentist | 2100 N Broad St, Suite 203, Lansdale, PA 19446-1052 | 2009-09-30 |
| 1215160387 | Richard J Galeone | Dentist | 2100 N Broad St, Suite 203, Lansdale, PA 19446-1052 | 2009-08-24 |
| 1841423910 | Marc Rosenberg | Dentist | 2100 N Broad St, Suite 203, Lansdale, PA 19446-1052 | 2009-08-24 |
| 1487887550 | Donald C Bedrosian | Dentist | 2100 N Broad St, Suite 203, Lansdale, PA 19446-1052 | 2009-08-24 |
| 1356513493 | Gale Millar Schwartz | Audiologist | 2100 N Broad St, Lansdale, PA 19446-1052 | 2008-03-28 |
| 1639366917 | Melinda Joyce Scholl | Audiologist | 2100 N Broad St, Suite 102, Lansdale, PA 19446-1052 | 2007-10-01 |
| 1558551994 | Tina Diane Rice | Audiologist-Hearing Aid Fitter | 2100 N Broad St, Lansdale, PA 19446-1052 | 2007-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225654601 | Nmr Blenheim LLC | In Home Supportive Care | 1001 N Broad Street, Suit A, Room 1&2, Lansdale, PA 19446 | 2020-06-22 |
| 1063076289 | Lung Health Services PC | Internal Medicine | 1240 South Broad Street, Suite 230, Lansdale, PA 19446 | 2019-04-23 |
| 1306388806 | Erica B Selheimer | Specialist/Technologist | 133 Canterbury Lane, Lansdale, PA 19446 | 2016-11-15 |
| 1669862785 | Amanda C Knight | Speech-Language Pathologist | 1161 Forty Foot Road, Lansdale, PA 19446 | 2015-01-27 |
| 1225433105 | Kelly A Schwartz | Nurse Practitioner | 840 S. Valley Forge Rd, Lansdale, PA 19446 | 2014-11-04 |
| 1750786430 | Megha Shah | Pharmacist | 1801 North Braod St, Suite 14, Lansdale Pharmacy, Lansdale, PA 19446 | 2014-10-24 |
| 1184036014 | Natalie Elizabeth Darcy | Dietitian, Registered | 1758 Allentown Road #110, Lansdale, PA 19446 | 2014-05-27 |
| 1942626940 | Kyung Min | Occupational Therapist | 333 S Line St Apt E4, Lansdale, PA 19446 | 2014-03-14 |
| 1962839340 | Deval Patel | Nurse Practitioner | 21 S. Valley Forge Rd., Unit 100, Lansdale, PA 19446 | 2013-10-01 |
| 1205100088 | Arnold Bierman, O.d. P.C. | Optometrist | 2302 Broad St N, Lansdale, PA 19446 | 2012-02-27 |
| Find all providers in zip 19446 | ||||
| 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 |
|---|---|---|---|---|
| 1366557324 | Minn Alexandre Cho | Dentist | 1117 S Broad St, Lansdale, PA 19446-5340 | 2006-08-20 |
| 1801092036 | Wm. P. Fricker D.d.s. PC | Dentist | 621 W Main St, Lansdale, PA 19446-2011 | 2007-06-25 |
| 1629197249 | Robert G Denmark | Dentist | 2 Cowpath Rd, Lansdale, PA 19446-1227 | 2007-03-28 |
| 1831247071 | William P Fricker | Dentist | 621 W Main St, Lansdale, PA 19446-2011 | 2007-01-06 |
| 1407948326 | North Penn Periodontal Associates | Dentist | 2100 N Broad St, Ste. #204, Lansdale, PA 19446-1052 | 2006-09-28 |
| 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 |
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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.