PMAK CHILDREN'S DENTAL, LLC (NPI# 1093145872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093145872 |
| Entity Type | Organization |
| Organization Name | PMAK CHILDREN'S DENTAL, LLC |
| Other Organization Name | PEDIATRIC DENTISTRY |
| Practice Address |
1517 Pond Rd Suite 201 Allentown PA 18104-2253 |
| Practice Telephone | 6103954800 |
| Practice Fax Number | 6103957080 |
| Mailing Telephone | 6103954800 |
| Mailing Fax Number | 6103957080 |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2013-11-15 |
| Authorized Official Name | DR. PHILLIP KNIGHT BRINTON (OWNER) |
| Authorized Official Telephone | 6465922320 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DS038628 | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1025976520008 | 05 |
| Other Name | Type Code |
|---|---|
| Pediatric Dentistry | Doing Business As Name - Organization |
| Street Address |
1517 POND RD SUITE 201 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18104-2253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598743486 | Lauire Cohen | Pediatrics | 1517 Pond Rd, Allentown, PA 18104-2253 | 2006-01-03 |
| 1083132393 | Lora Steffie | Pediatrics | 1517 Pond Rd, Allentown, PA 18104-2253 | 2017-09-07 |
| 1174929897 | Pediatric Neurology of Lehigh Valley, PC | Psychiatry & Neurology | 1517 Pond Rd, 2nd Floor, Allentown, PA 18104-2253 | 2014-11-06 |
| 1780977546 | Phillip Knight Brinton | Dentist | 1517 Pond Rd, Allentown, PA 18104-2253 | 2011-05-26 |
| 1275714024 | Lydia A Boateng | Pediatrics | 1517 Pond Rd, Allentown, PA 18104-2253 | 2007-11-21 |
| 1427239706 | Dilshad Sumar | Dentist | 1517 Pond Rd, Allentown, PA 18104-2253 | 2007-11-15 |
| 1891747192 | Tracy W Kramer | Licensed Practical Nurse | 1517 Pond Rd, Allentown, PA 18104-2253 | 2006-05-16 |
| 1700837663 | Elizabeth Renee Bennett | Licensed Practical Nurse | 1517 Pond Rd, Allentown, PA 18104-2253 | 2006-05-15 |
| 1265483382 | Susan Elizabeth Bryant Sutter | Licensed Practical Nurse | 1517 Pond Rd, Allentown, PA 18104-2253 | 2006-05-13 |
| 1568422186 | Anna Linderman | Pediatrics | 1517 Pond Rd, Allentown, PA 18104-2253 | 2006-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134191 | The Calm Space LLC | Social Worker | 2047 Pa-309, Allentown, PA 18104 | 2020-08-13 |
| 1790333458 | Loanna T Nguyen | Nurse Practitioner | 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 | 2019-08-27 |
| 1093360513 | Meghan Paul | Pharmacist | 1727 W Liberty Street, Unit 2, Allentown, PA 18104 | 2019-08-02 |
| 1750948154 | Patricia Terreros | Counselor | 3057 College Heights Blvd Suite Ll, Allentown, PA 18104 | 2019-05-22 |
| 1023593084 | Hearvana | Clinic/Center | 2200 Wets Hamilton Street Suite 311, Allentown, PA 18104 | 2018-09-26 |
| 1700397098 | Amanda L Sellers | Psychologist | 121 N Cedar Crest Blvd Ste A, Allentown, PA 18104 | 2017-10-13 |
| 1689104457 | Craig Ryan Miller | Physical Therapist | 1651 N Cedar Crest Blvd Ste 100, Allentown, PA 18104 | 2017-06-14 |
| 1780128207 | Brandi Nicole Burns | Pediatrics | 1517 Pond Road, Allentown, PA 18104 | 2016-12-19 |
| 1750824264 | William Edward Thawley | Pharmacist | 322 N 7th St., Allentown, PA 18104 | 2016-12-01 |
| 1609222371 | Extremity Mri Inc | Radiologic Technologist | 3131 College Heights Blvd Ste 400, Allentown, PA 18104 | 2016-05-11 |
| Find all providers in zip 18104 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801381454 | Eugene J Mcguire Dds, PC | Dentist | 1575 Pond Rd Ste 105, Allentown, PA 18104-2254 | 2018-06-26 |
| 1699830059 | Hugh Joseph Odonnell Jr. | Dentist | 3057 College Heights Blvd, Allentown, PA 18104-4875 | 2006-12-26 |
| 1770659542 | Marsha Adler Gordon | Dentist | 1525 Hausman Rd, Allentown, PA 18104-9258 | 2006-11-25 |
| 1952388076 | Timothy Lane Kent | Dentist | 504 Parkside Ct, Allentown, PA 18104-4681 | 2005-12-29 |
| 1083603161 | Eugene James Mcguire | Dentist | 1575 Pond Rd, Suite 105, Allentown, PA 18104-2254 | 2005-10-20 |
| 1215375365 | Smile Krafters Pediatric, LLC | Dentist | 1247 S Cedar Crest Blvd, Allentown, PA 18103-6298 | 2013-06-11 |
| 1972883288 | Matt Harrison Boswell | Dentist | 3057 College Heights Blvd, Allentown, PA 18104-4875 | 2011-08-18 |
| 1790070209 | Wanda J. Janik | Dentist | 1525 Hausman Rd, Allentown, PA 18104-9258 | 2011-06-13 |
| 1780977546 | Phillip Knight Brinton | Dentist | 1517 Pond Rd, Allentown, PA 18104-2253 | 2011-05-26 |
| 1912206970 | Little Smiles, P.C. | Dentist | 1247 S Cedar Crest Blvd, Suite 300, Allentown, PA 18103-6298 | 2011-03-16 |
| Find all providers in ALLENTOWN | ||||
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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.