WHITEHALL DENTAL GROUP LLC (NPI# 1710463526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710463526 |
| Entity Type | Organization |
| Organization Name | WHITEHALL DENTAL GROUP LLC |
| Practice Address |
5501 Macarthur Rd Whitehall PA 18052-1605 |
| Practice Telephone | 3364787348 |
| Practice Fax Number | 6103775999 |
| Mailing Telephone | 3364787348 |
| Mailing Fax Number | 6103775999 |
| Enumeration Date | 2018-07-15 |
| Last Update Date | 2018-07-15 |
| Authorized Official Name | JIGNESH PATEL (OWNER) |
| Authorized Official Telephone | 6103775948 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DS040794 | PA | Ambulatory Health Care Facilities |
| Street Address |
5501 MACARTHUR RD |
| City | WHITEHALL |
| State | PA |
| Zip Code | 18052-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518070176 | Serges John Salivonchik | Dentist | 5501 Macarthur Rd, Whitehall, PA 18052-1605 | 2006-08-17 |
| 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 | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
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|---|---|---|---|---|
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| 1013571322 | Lakeshore Family Dental Care | Clinic/Center | 504 E Colby St, Whitehall, MI 49461-1165 | 2019-04-23 |
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| 1710585815 | Tpg Dmd, LLC | Clinic/Center | Grande Plaza 1103 Rocky Dr, Suite 205, West Lawn, PA 19609 | 2020-10-12 |
| 1427665751 | Chandan Dental Associates | Clinic/Center | 3242 S Main Street, Sandy Lake, PA 16145 | 2020-09-30 |
| 1578175733 | Columbia Dental LLC | Clinic/Center | 846 Lancaster Ave, Columbia, PA 17512-2206 | 2020-08-19 |
| 1043820749 | David B. Killian, Dmd, PC | Clinic/Center | 305 S. Hanover Street, Carlisle, PA 17013 | 2020-08-06 |
| 1427667336 | Indiju 4 Dental LLC | Clinic/Center | 4240 Oregeon Pk., Ephrata, PA 17522 | 2020-07-27 |
| 1902415276 | Ragland Orthodontics | Clinic/Center | 800 Edgewood Rd Ste 1, York, PA 17402-4379 | 2020-07-23 |
| 1356950604 | Jamison Innovative Dentistry PC | Clinic/Center | 2370 Old York Rd Ste D1, Jamison, PA 18929-1031 | 2020-07-23 |
| 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.