MIRIAM CAROLINE OMALLEY (NPI# 1154419042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154419042 |
| Entity Type | Individual |
| Full Name | MIRIAM CAROLINE OMALLEY |
| Credential | DMD |
| Practice Address |
550 3rd Ave Ste 1 Kingston PA 18704-5806 |
| Practice Telephone | 5702889070 |
| Practice Fax Number | 5702884201 |
| Mailing Telephone | 5702889070 |
| Mailing Fax Number | 5702884201 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2013-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
027676L | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 01696297 | 05 |
| Street Address |
550 3RD AVE STE 1 |
| City | KINGSTON |
| State | PA |
| Zip Code | 18704-5806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770557118 | Callahan and Bergey Associates P.C. | Dentist | 550 3rd Ave, Suite #1, Kingston, PA 18704-5806 | 2006-02-14 |
| 1467661850 | J. Ward Fitzpatrick | Dentist | 550 3rd Ave, Suite 3, Kingston, PA 18704-5806 | 2007-05-22 |
| 1386618643 | David Alan Bergey | Dentist | 550 3rd Ave, Suite#1, Kingston, PA 18704-5806 | 2006-02-14 |
| 1649244906 | Michael Dennis Callahan | Dentist | 550 3rd Ave, Suite#1, Kingston, PA 18704-5806 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| 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 |
|---|---|---|---|---|
| 1144358821 | James Thomas Shields | Dentist | 40 Hurley Ave Suite 14, Kingston, NY 12401 | 2007-03-02 |
| 1912949934 | Kenneth Sherman Roll | Dentist | 130 N Front St, Suite #8, Kingston, NY 12401-3741 | 2006-06-12 |
| 1770557118 | Callahan and Bergey Associates P.C. | Dentist | 550 3rd Ave, Suite #1, Kingston, PA 18704-5806 | 2006-02-14 |
| 1194945741 | Matthew Anthony Hilmi | Dentist | 117 Marys Ave, 104, Kingston, NY 12401-5849 | 2007-04-26 |
| 1356468193 | Mid-hudson Oral and Maxillofacial PC | Dentist | 117 Marys Ave, 104, Kingston, NY 12401-5849 | 2007-03-26 |
| 1972526739 | Richard Levy | Dentist | 300 Market St, Kingston, PA 18704-5426 | 2006-07-25 |
| 1386618643 | David Alan Bergey | Dentist | 550 3rd Ave, Suite#1, Kingston, PA 18704-5806 | 2006-02-14 |
| 1649244906 | Michael Dennis Callahan | Dentist | 550 3rd Ave, Suite#1, Kingston, PA 18704-5806 | 2006-02-14 |
| 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.