CHARLES G SHEA DMD PC (NPI# 1912049115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912049115 |
| Entity Type | Organization |
| Organization Name | CHARLES G SHEA DMD PC |
| Practice Address |
225 Vine St Johnstown PA 15901 |
| Practice Telephone | 8145357888 |
| Practice Fax Number | 8145398858 |
| Mailing Telephone | 8145357888 |
| Mailing Fax Number | 8145398858 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2013-09-19 |
| Authorized Official Name | DR. CHARLES G SHEA (OWNER) |
| Authorized Official Telephone | 8145357888 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS-018700-L | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BS | 160535 | 01 |
| PA | 0015391880001 | 05 |
| Street Address |
225 VINE ST |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548697170 | Charles Gordon Shea | Dentist | 225 Vine St, Johnstown, PA 15901-1518 | 2013-09-27 |
| 1356782700 | Charles G.shea,dmd,pc | Dentist | 225 Vine St, Johnstown, PA 15901-1518 | 2013-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821540758 | Valley Vision Care | Optometrist | 132 Market St., Johnstown, PA 15901 | 2016-10-26 |
| 1649515552 | Nulton Diagnostic & Treatment Center, PC. | Community/Behavioral Health | 110 Franklin Street, Suite 100, Johnstown, PA 15901 | 2012-12-04 |
| 1811126113 | Paul Richard Hoover | Counselor | 131 Market Street, Johnstown, PA 15901 | 2009-07-08 |
| 1013128495 | Subarna Hamid Eisaman | Internal Medicine | 337 Somerset Street, Upmc-john P. Murtha Regional Cance, Department of Radiation Oncology, Johnstown, PA 15901 | 2007-05-25 |
| 1982773297 | Thomas J Bach | Dentist | 504 Franklin St, Johnstown, PA 15901 | 2006-11-08 |
| 1659458396 | Joseph Andrew Balaschak | Dentist | 216 Dibert Street, Johnstown, PA 15901 | 2006-11-01 |
| 1306951561 | Barry James Senior | Dentist | 248 Vine Street, Johnstown, PA 15901 | 2006-08-20 |
| 1316979396 | Vicki Hess | Social Worker | 417 Main Street, Johnstown, PA 15901 | 2006-07-07 |
| 1043270143 | Highland R Campbell Jr. | Emergency Medicine | 1086 Frankling St, Conemaugh Emergency Physicians Group, Johnstown, PA 15901 | 2006-03-24 |
| 1245236835 | Larry L Rutledge | Clinical Neuropsychologist | 111a Roosevelt Blouevard, Johnstown, PA 15901 | 2005-06-28 |
| Find all providers in zip 15901 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235115569 | Charles R Griffith | Dentist | 1223 Scalp Ave, Johnstown, PA 15904-3150 | 2005-12-19 |
| 1982095808 | Cindy Wolt Dds Inc | Dentist | 848 West Coshocton Street, Johnstown, OH 43031 | 2015-02-13 |
| 1548697170 | Charles Gordon Shea | Dentist | 225 Vine St, Johnstown, PA 15901-1518 | 2013-09-27 |
| 1356782700 | Charles G.shea,dmd,pc | Dentist | 225 Vine St, Johnstown, PA 15901-1518 | 2013-07-15 |
| 1588739353 | Michael L. Delrosario | Dentist | 20 Osborne St, Johnstown, PA 15905 | 2006-11-21 |
| 1700803145 | Michael P Gress Dds PC | Dentist | 1223 Scalp Ave, Johnstown, PA 15904-3150 | 2006-07-15 |
| 1922043322 | Valley Oral Surgeon, Ltd. | Dentist | 20 Osborne St, Johnstown, PA 15905-4128 | 2006-06-19 |
| 1497731723 | Michael Paul Gress | Dentist | 1223 Scalp Ave, Johnstown, PA 15904-3150 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074037 | Kingsbury Oral and Maxillofacial Surgery, PC | Dentist | 1 Presidential Blvd Ste 207, Bala Cynwyd, PA 19004-1007 | 2020-08-17 |
| 1679183990 | Always Precision Dental PC | Dentist | 1023 King Way, Breinigsville, PA 18031-1482 | 2020-08-02 |
| 1447874490 | Peace Dental Associates | Dentist | 35 S 2nd Ave, Clarion, PA 16214-1934 | 2020-06-05 |
| 1528689270 | New Hope Oral Surgery and Implant Center | Dentist | 6660 Old York Rd, New Hope, PA 18938 | 2020-05-05 |
| 1942831904 | Eagles Oral Surgery | Dentist | 525 W Main St Ste 11, Trappe, PA 19426-1923 | 2020-01-29 |
| 1104466028 | Keystone Oral and Maxillofacial Surgery, P.C. | Dentist | 560 Rugh St Ste 100, Greensburg, PA 15601-5601 | 2020-01-08 |
| 1245889740 | Oral & Facial Surgery of Pittsburgh, P.C. | Dentist | 180 Swinderman Rd Ste 260, Wexford, PA 15090-5620 | 2019-09-06 |
| 1528626124 | Christopher Yi | Dentist | 900 Walnut St Rm 300, Philadelphia, PA 19107-5191 | 2019-05-30 |
| 1275091886 | Gary M Carmassi Dmd | Dentist | 8650 Babcock Blvd Ste 3, Pittsburgh, PA 15237-5009 | 2019-03-04 |
| 1073093233 | Ban Oral and Facial Surgical Associates LLC | Dentist | 4725 Mcknight Rd Ste 209, Pittsburgh, PA 15237-3414 | 2018-08-17 |
| 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.