ELISSA DIANE COLLEDGE (NPI# 1174052047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174052047 |
| Entity Type | Individual |
| Full Name | ELISSA DIANE COLLEDGE |
| Credential | DDS |
| Practice Address |
2217 7th Ave Altoona PA 16602-2243 |
| Mailing Address |
1818 2nd Ave Altoona PA 16602-3558 |
| Practice Telephone | 8149319111 |
| Mailing Telephone | 8142327464 |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2017-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS041316 | PA | Dental Providers |
| Street Address |
2217 7TH AVE |
| City | ALTOONA |
| State | PA |
| Zip Code | 16602-2243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528092715 | Donald Joseph Betar Jr. | Dentist | 2217 7th Ave, Altoona, PA 16602-2243 | 2006-07-11 |
| 1932726882 | Sarah Mae Michaels | Dentist | 2217 7th Ave, Altoona, PA 16602-2243 | 2020-06-26 |
| 1609354430 | Aisha Gharsalli | Dentist | 2217 7th Ave, Altoona, PA 16602-2243 | 2018-08-02 |
| 1306145032 | Betar Dental, P.C. Inc. | Dentist | 2217 7th Ave, Altoona, PA 16602-2243 | 2011-03-21 |
| 1255505749 | Julie Renee Hollobaugh | Dentist | 2217 7th Ave, Altoona, PA 16602-2243 | 2008-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817646 | John Francis Cain | Registered Nurse | 319 Meadowlark Ave, Altoona, PA 16602 | 2020-10-06 |
| 1023650991 | Rahaf Obeid | Pharmacist | 508 E Plank Road, Altoona, PA 16602 | 2019-10-12 |
| 1346713641 | Justin M Delasko | Dietitian, Registered | 905 Logan Blvd, Altoona, PA 16602 | 2019-01-09 |
| 1679932420 | Dottie Jean Morgan | Speech-Language Pathologist | 501 Valley View Blvd., Altoona, PA 16602 | 2016-02-22 |
| 1922409283 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 1600 9th Avenue, Altoona, PA 16602 | 2014-09-05 |
| 1972918878 | Grane Hospice Care, Inc. | Hospice Care, Community Based | 115 Union Ave Ste 100, Altoona, PA 16602 | 2014-06-30 |
| 1033524921 | Grane Hospice Care, Inc. | Home Health | 115 Union Ave Ste 300, Altoona, PA 16602 | 2014-06-30 |
| 1306184858 | Lighthouse Medical, LLC | Physical Medicine & Rehabilitation | 301 E. Pleasant Valley Blvd, Altoona, PA 16602 | 2013-01-17 |
| 1497042576 | Michala Seidel | Counselor | 3010 7th Avenue, Alternative Community Resource Program, Altoona, PA 16602 | 2011-07-08 |
| 1205121647 | Rebekah Brown | Preventive Medicine | 301 E Pleasant Valley Blvd., Altoona, PA 16602 | 2011-06-14 |
| Find all providers in zip 16602 | ||||
| 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 |
|---|---|---|---|---|
| 1184285850 | Monica Shea Shook | Dentist | 3063 Meadowlark Ln Ste 60, Altoona, WI 54720-2660 | 2019-06-24 |
| 1427451160 | Iowa Dental Professionals, PC | Dentist | 3219 8th St Sw, Altoona, IA 50009-1035 | 2014-10-08 |
| 1487971735 | Peng Cheng | Dentist | 125 E Pleasant Valley Blvd, Altoona, PA 16602-5544 | 2010-04-27 |
| 1346471083 | Nicole Brummel | Dentist | 950 28th Ave Sw, Ste #2, Altoona, IA 50009-3927 | 2009-07-29 |
| 1992932040 | Mitchell D Somers | Dentist | 3420 Pleasant Valley Blvd, Altoona, PA 16602-4314 | 2009-06-16 |
| 1952520165 | Altoona Regional Partnership for A Healthy Community | Dentist | 501 Howard Ave Ste D103, Altoona, PA 16601-4814 | 2007-04-25 |
| 1720108285 | Jonathan Morris Thaler | Dentist | 1226 Pleasant Valley Blvd Ste A, Altoona, PA 16602-4742 | 2007-03-30 |
| 1114046547 | Christopher John Hlas | Dentist | 107 8th St Se, Altoona, IA 50009 | 2007-03-28 |
| 1396863734 | Jerry Edward Cooper | Dentist | 708 1st Ave S, Altoona, IA 50009-1717 | 2007-03-26 |
| 1841336815 | Bruce J. Thaler | Dentist | 200 Union Ave, Altoona, PA 16602-3248 | 2007-01-29 |
| Find all providers in ALTOONA | ||||
Please comment or provide details below to improve the information on ELISSA DIANE COLLEDGE.
| 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.