TITUSVILLE HOSPITAL DENTAL GROUP (NPI# 1174704696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174704696 |
Entity Type | Organization |
Organization Name | TITUSVILLE HOSPITAL DENTAL GROUP |
Practice Address |
406 W Oak St Titusville PA 16354-1404 |
Mailing Address |
406 W Oak St Titusville PA 16354-1499 |
Practice Telephone | 8009501851 |
Practice Fax Number | 8148278419 |
Mailing Telephone | 8009501851 |
Mailing Fax Number | 8148278419 |
Enumeration Date | 2007-11-27 |
Last Update Date | 2007-11-27 |
Authorized Official Name | RICHARD A SMITH (DIRECTOR CLINIC OPERATIONS) |
Authorized Official Telephone | 8009501851 |
Is Organization Subpart | Y |
Parent Organization Name | TITUSVILLE AREA HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 1007460650026 | 05 |
Street Address |
406 W OAK ST |
City | TITUSVILLE |
State | PA |
Zip Code | 16354-1404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588644041 | Byron Lee Donovan | Anesthesiology | 406 W Oak St, Titusville, PA 16354-1404 | 2006-01-20 |
1467914358 | Kim M Combs | Nurse Practitioner | 406 W Oak St, Titusville, PA 16354-1499 | 2019-04-01 |
1316471212 | Titusville Area Hospital | Clinic/Center | 406 W Oak St, Titusville, PA 16354-1404 | 2017-04-18 |
1922541291 | Ruby L Crow | Nurse Practitioner | 406 W Oak St, Titusville, PA 16354-1404 | 2016-11-18 |
1366992315 | Titusville Area Hospital | Radiology | 406 W Oak St, Titusville, PA 16354-1404 | 2016-10-13 |
1881008134 | Rose Therese Colt | Family Medicine | 406 W Oak St, Titusville, PA 16354-1499 | 2014-06-15 |
1427461037 | Saint Vincent Medical Education and Research Institute Inc | Family Medicine | 406 W Oak St, Titusville, PA 16354-1404 | 2014-06-11 |
1730381724 | Mary Christine Wethli | Neuromusculoskeletal Medicine & OMM | 406 W Oak St, Titusville, PA 16354-1404 | 2007-06-03 |
1477766400 | Robert William Cooney | Occupational Therapist | 406 W Oak St, Titusville, PA 16354-1404 | 2007-05-07 |
1073730487 | Arthur A Lewis | Emergency Medicine | 406 W Oak St, Titusville, PA 16354-1404 | 2007-04-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073914883 | Brittany Ann Masterson | Physician Assistant | 150 West Central Avenue, Titusville, PA 16354 | 2014-09-11 |
1306050299 | Scott Coleman Smith | Nurse Anesthetist, Certified Registered | Titusville Area Health Services, Inc. - Anesthesia, 406 West Oak Street, Titusville, PA 16354 | 2007-05-09 |
1871716621 | Wayne A Martin | Dentist | 202 Union Street, Ste 3, Titusville, PA 16354 | 2007-04-10 |
1952469660 | Shelly L Proper | Counselor | 115 West Spring Street, Titusville, PA 16354 | 2006-12-05 |
1124190830 | Ashleigh K English | Counselor | 115 West Spring St, Titusville, PA 16354 | 2006-11-15 |
1104921428 | Titusville Area Hospital | Medicare Defined Swing Bed Unit | 406 West Oak Street, Titusville, PA 16354 | 2006-09-13 |
1891899332 | Titusville Area Hospital | General Acute Care Hospital | 406 West Oak St., Titusville, PA 16354 | 2006-09-12 |
1891800470 | James Leo Kristobak | Dentist | 129 N Franklin St, Titusville, PA 16354 | 2006-08-21 |
1770531295 | Kathleen D Etzel | Radiology | 406 W Oak Street, Titusville, PA 16354 | 2006-05-05 |
1235104977 | American Homepatient, Inc. | Durable Medical Equipment & Medical Supplies | Drake Mall, Titusville, PA 16354 | 2006-02-17 |
Find all providers in zip 16354 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427551829 | Todd R Denson, Dmd | Clinic/Center | 2191 Garden St, Titusville, FL 32796-2577 | 2018-03-12 |
1578737524 | Walter F. Zoller, D.m.d., P.a. | Clinic/Center | 796 Florencia Circle, Titusville, FL 32780-4965 | 2008-04-19 |
1245381920 | Brian P. Baker Dmd,pa | Clinic/Center | 1625 S Washington Ave, Suite B, Titusville, FL 32780-4734 | 2007-01-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992306278 | Maria B Mezzanotte Dds LLC | Clinic/Center | 3409 Wilmington Rd, New Castle, PA 16105-3209 | 2020-11-04 |
1952901704 | Prime Dental Associates, LLC | Clinic/Center | 101 Old York Rd Ste 401, Jenkintown, PA 19046-3912 | 2020-10-30 |
1194324897 | Jignesh Rudani Dmd PC | Clinic/Center | 3400 Bath Pike Ste 200, Bethlehem, PA 18017-2484 | 2020-10-22 |
1710585815 | Tpg Dmd, LLC | Clinic/Center | Grande Plaza 1103 Rocky Dr, Suite 205, West Lawn, PA 19609 | 2020-10-12 |
1427665751 | Chandan Dental Associates | Clinic/Center | 3242 S Main Street, Sandy Lake, PA 16145 | 2020-09-30 |
1578175733 | Columbia Dental LLC | Clinic/Center | 846 Lancaster Ave, Columbia, PA 17512-2206 | 2020-08-19 |
1043820749 | David B. Killian, Dmd, PC | Clinic/Center | 305 S. Hanover Street, Carlisle, PA 17013 | 2020-08-06 |
1427667336 | Indiju 4 Dental LLC | Clinic/Center | 4240 Oregeon Pk., Ephrata, PA 17522 | 2020-07-27 |
1902415276 | Ragland Orthodontics | Clinic/Center | 800 Edgewood Rd Ste 1, York, PA 17402-4379 | 2020-07-23 |
1356950604 | Jamison Innovative Dentistry PC | Clinic/Center | 2370 Old York Rd Ste D1, Jamison, PA 18929-1031 | 2020-07-23 |
Find all providers with the same taxonomy |
City | TITUSVILLE |
Zip Code | 16354 |
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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.