MARIE PETTERS KELLY (NPI# 1093826323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093826323 |
| Entity Type | Individual |
| Full Name | MARIE PETTERS KELLY |
| Credential | DDS |
| Practice Address |
1670 Lincoln Hwy E Lancaster PA 17602-2663 |
| Practice Telephone | 7173941067 |
| Mailing Telephone | 7173941067 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS025788L | PA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
7583 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PA DENTIST LICENSE | DS025788L | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750715181 | Marie Michelle Kelly | Speech-Language Pathologist | 1800 Porter Rd, Rock Hill, SC 29730-8610 | 2013-08-21 |
| 1245451962 | Marie A Kelly | Physical Therapist | 55 N Route 9w, West Haverstraw, NY 10993-1127 | 2007-05-01 |
| 1326474727 | Marie A Kelly | Physician Assistant | 1259 S Cedar Crest Blvd, Suite 100, Allentown, PA 18103-6372 | 2013-09-18 |
| 1053672907 | Marie K Kelly | Specialist | 664 Orangeburg Rd, Pearl River, NY 10965-2830 | 2012-06-06 |
| 1730410143 | Marie F Kelly | Pharmacist | 8740 Park Blvd, Largo, FL 33777-4333 | 2010-01-25 |
| 1770692238 | Marie C Kelly | Optometrist | 110 Glancy St, Suite 208, Goodlettsville, TN 37072 | 2006-08-29 |
| 1497757819 | Marie T Kelly | Psychiatry & Neurology | 2630 West Fwy, Fort Worth, TX 76102-7100 | 2005-08-15 |
| Street Address |
1670 LINCOLN HWY E |
| City | LANCASTER |
| State | PA |
| Zip Code | 17602-2663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114417045 | Marie Petters Kelly | Clinic/Center | 1670 Lincoln Hwy E, Lancaster, PA 17602-2663 | 2018-05-16 |
| 1386080893 | Peter William Innacola | Dentist | 1670 Lincoln Hwy E, Carano Dental Grp, Lancaster, PA 17602-2663 | 2013-05-13 |
| 1467695171 | Anne Stuccio | Dentist | 1670 Lincoln Hwy E, Lancaster, PA 17602-2663 | 2009-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313173 | Taylor Giambrone | Registered Nurse | Lgh Nurse Family Partnership, 555 North Duke Street, Lancaster, PA 17602 | 2020-10-12 |
| 1982268843 | Blanche Nichole Breznak | Pharmacist | 201 East Chestnut St, Lancaster, PA 17602 | 2019-04-25 |
| 1285104851 | Stephanie Benedict | Pharmacist | 1603 Lincoln Highway East, Lancaster, PA 17602 | 2018-11-27 |
| 1043709835 | Deborah J Campos-bard, Lmt | Massage Therapist | 439 N. Duke St. 2nd Fl., 2, Lancaster, PA 17602 | 2018-05-07 |
| 1861989493 | Functional Freedom LLC | Occupational Therapist | 105 Heritage Rd., Lancaster, PA 17602 | 2018-04-19 |
| 1083094577 | Gracie Berry | Counselor | 413 Church St, Lancaster, PA 17602 | 2015-06-01 |
| 1366835597 | Holcomb Associates, Inc. | Community/Behavioral Health | 800 New Holland Avenue, Lancaster, PA 17602 | 2015-03-12 |
| 1205236965 | Maria Taylor | Physician Assistant | 555 N Duke Street, Lghp Hospitalists, Lancaster, PA 17602 | 2014-09-01 |
| 1114355104 | Charles Eugene Stream | Physician Assistant | 133 East Fredeick Street, Lancaster, PA 17602 | 2013-10-29 |
| 1710221668 | Kourtney Randsdorp | Occupational Therapist | 105 Heritage Rd, Lancaster, PA 17602 | 2012-11-15 |
| Find all providers in zip 17602 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497363279 | Affordable Dentist Near Me Lancaster,pllc | Dentist | 1370 W Belt Line Rd, Lancaster, TX 75146-2110 | 2020-07-17 |
| 1467952903 | Elite Dental LLC | Dentist | 1210 Millersville Pike, Lancaster, PA 17603-6656 | 2018-02-20 |
| 1528570157 | Simley Dental-lancaster Pllc | Dentist | 1445 W Pleasant Run Rd, Lancaster, TX 75146-1308 | 2017-11-05 |
| 1538671128 | Navneet Kaur Randhawa | Dentist | 1305 N Bluegrove Rd # 103, Lancaster, TX 75134-2939 | 2017-11-03 |
| 1881117950 | Azita Saidi Carr | Dentist | 404 N I 35 E Ste 118, Lancaster, TX 75146-1866 | 2017-07-20 |
| 1588015556 | Lawrence M. Lozada D.d.s. Professional Corporation | Dentist | 945 W Avenue J, Lancaster, CA 93534-3428 | 2016-06-30 |
| 1720466162 | Sandra Pasquinelli | Dentist | 1601 N Memorial Dr, Lancaster, OH 43130-1632 | 2015-05-18 |
| 1831577923 | Joseph Hanna Dental Corporation | Dentist | 43531 10th St West, Lancaster, CA 93534 | 2015-05-11 |
| 1730566266 | Nidhesha LLC | Dentist | 1011 Crofft Dr, Lancaster, PA 17601-4889 | 2015-05-05 |
| 1821404724 | Hopewell Dental Care Associates, LLC | Dentist | 1617 Tiki Ln, Lancaster, OH 43130-8729 | 2014-07-11 |
| Find all providers in LANCASTER | ||||
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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.