WHITE WILLOW DENTAL ARTS (NPI# 1760841084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760841084 |
| Entity Type | Organization |
| Organization Name | WHITE WILLOW DENTAL ARTS |
| Practice Address |
1244 Fort Washington Ave Suite A Fort Washington PA 19034-1743 |
| Mailing Address |
1413 Beech Ave Elkins Park PA 19027-3152 |
| Practice Telephone | 2156430363 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |
| Authorized Official Name | DR. PAOLA BUKOVCAN (OWNER) |
| Authorized Official Telephone | 2154102049 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DS039121 | PA | Ambulatory Health Care Facilities |
| Street Address |
1244 FORT WASHINGTON AVE SUITE A |
| City | FORT WASHINGTON |
| State | PA |
| Zip Code | 19034-1743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558369942 | Thomas D Coats | Ophthalmology | 1244 Fort Washington Ave, Suite E1, Fort Washington, PA 19034-1743 | 2005-07-11 |
| 1063957264 | Virginia Byers | Nurse Practitioner | 1244 Fort Washington Ave, Suite E2, Fort Washington, PA 19034-1743 | 2016-12-23 |
| 1881138246 | Lindsay Osgood | Physical Therapist | 1244 Fort Washington Ave, Suite M1, Fort Washington, PA 19034-1743 | 2016-12-05 |
| 1952743866 | Jessica Levine | Registered Nurse | 1244 Fort Washington Ave, Suite E2, Fort Washington, PA 19034-1743 | 2013-07-19 |
| 1396187456 | Deborah Pestrak | Nurse Practitioner | 1244 Fort Washington Ave, Suite E2, Fort Washington, PA 19034-1743 | 2013-07-17 |
| 1831456383 | Nancy M Covone | Nurse Practitioner | 1244 Fort Washington Ave, Suite E 2, Fort Washington, PA 19034 | 2012-04-20 |
| 1104121037 | Jay Richard Rosan | Family Medicine | 1244 Fort Washington Ave, Family Practice of Upper Dublin, Fort Washington, PA 19034 | 2011-01-25 |
| 1154650489 | Abington Memorial Hospital | Family Medicine | 1244 Fort Washington Ave, Suite E, Fort Washington, PA 19034-1743 | 2009-12-16 |
| 1053645663 | Benjamin W Hsu | Dentist | 1244 Fort Washington Ave, Fort Washington, PA 19034-1743 | 2009-09-29 |
| 1922208180 | Cassandra Jinn Liu | Family Medicine | 1244 Fort Washington Ave, E2, Fort Washington, PA 19034-1743 | 2007-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376038810 | Child and Family Focus, Inc. | Community/Behavioral Health | 800 Losh Alsh Avenue, Fort Washington, PA 19034 | 2018-06-27 |
| 1902398688 | Axia Ambulatory Surgery Center | Clinic/Center | 476 Pennsylvania Ave, Suite 202b, Fort Washington, PA 19034 | 2018-05-30 |
| 1336691245 | Elverl Fully | Registered Nurse | 500 Office Center Drive, Suite 400, The Ellison's Nursing Group, LLC, Fort Washington, PA 19034 | 2016-10-26 |
| 1881140028 | Sulvena Pierre | Licensed Practical Nurse | 500 Office Center Drive, Suite 400 Fort Washington, Fort Washington, PA 19034 | 2016-08-28 |
| 1730536145 | Robert Slauch | Dentist | 467 Pennsylvania Ave Ste 201, Fort Washington, PA 19034 | 2016-05-16 |
| 1699145821 | Anna Oldfield | Nurse Practitioner | 735 Susquehanna Rd, Fort Washington, PA 19034 | 2015-09-30 |
| 1598149247 | Victoria T Adepoju | Licensed Practical Nurse | 500 Office Centre Drive Suite 400, Fort Washinghton, PA 19034 | 2015-07-13 |
| 1700210408 | Wendy Lynn Holmes | Physical Therapy Assistant | 735 Susquehanna Rd., Fort Washington Estates, Fort Washington, PA 19034 | 2013-08-29 |
| 1629316567 | The Ellison Nursing Group | Licensed Practical Nurse | 500 Office Center Drive, Suite 400, Fort Washington, PA 19034 | 2013-01-28 |
| 1841540416 | Barbara Portnoy | Dentist | 1244 Ft. Washington Ave., Suite M-1, Fort Washington, PA 19034 | 2012-09-11 |
| Find all providers in zip 19034 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104053545 | All Smiles Dental Care PC | Clinic/Center | 12803 Old Fort Rd Ste 203, Fort Washington, MD 20744-2801 | 2009-06-12 |
| 1639722184 | Lynnalan Family Dental Center | Clinic/Center | 8800 Old Palmer Rd, Fort Washington, MD 20744-3662 | 2019-07-23 |
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|---|---|---|---|---|
| 1992306278 | Maria B Mezzanotte Dds LLC | Clinic/Center | 3409 Wilmington Rd, New Castle, PA 16105-3209 | 2020-11-04 |
| 1952901704 | Prime Dental Associates, LLC | Clinic/Center | 101 Old York Rd Ste 401, Jenkintown, PA 19046-3912 | 2020-10-30 |
| 1194324897 | Jignesh Rudani Dmd PC | Clinic/Center | 3400 Bath Pike Ste 200, Bethlehem, PA 18017-2484 | 2020-10-22 |
| 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 | ||||
| City | FORT WASHINGTON |
| Zip Code | 19034 |
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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.