DR. SHANE KLINGONSMITH (NPI# 1205910767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205910767 |
| Entity Type | Individual |
| Full Name | DR. SHANE KLINGONSMITH |
| Credential | D.M.D |
| Practice Address |
4555 Easton Ave Bethlehem PA 18020-9343 |
| Practice Telephone | 6108660552 |
| Mailing Telephone | 6108660552 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2013-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS036069 | PA | Dental Providers |
| Street Address |
4555 EASTON AVE |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18020-9343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487798880 | David Matthews Veleber | Psychologist | 4555 Easton Ave, Bethlehem, PA 18020-9343 | 2007-02-18 |
| 1407999311 | Howard Mark Goldstein | Dentist | 4555 Easton Ave, Bethlehem, PA 18020-9343 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700315504 | Bgp LLC | Non-emergency Medical Transport (VAN) | 4329 Rexford Drive, Bethlehem, PA 18020 | 2017-06-06 |
| 1194252882 | Jeffrey Timlin | Legal Medicine | 3382 East Boulevard, Bethlehem, PA 18020 | 2017-05-12 |
| 1104350206 | Jamie Green | Speech-Language Pathologist | 185 Butztown Road, Bethlehem, PA 18020 | 2017-04-14 |
| 1396102075 | Kati Holmes | Specialist/Technologist | 2030 Highland Ave., Coordinated Heatlh, Bethlehem, PA 18020 | 2016-01-26 |
| 1093056590 | Ching-ho Lin | Obstetrics & Gynecology | 3550 Manor Rd., Bethlehem, PA 18020 | 2013-03-07 |
| 1922338490 | Merakey Pennsylvania | Community/Behavioral Health | 1430 Coleman Streeet, Bethlehem, PA 18020 | 2010-01-06 |
| 1861720575 | Kellyn Foundation | Voluntary or Charitable | 2820 Emrick Boulevard, Bethlehem, PA 18020 | 2009-11-19 |
| 1639358542 | Ronald R Strisofsky Jr. | Dentist | 3835 Green Pond Rd, Northampton Community College, Bethlehem, PA 18020 | 2007-10-26 |
| 1760677827 | Charles Sidney Moore Jr. | Nurse Anesthetist, Certified Registered | 2851 Baglyos Cir Ste 100, Bethlehem, PA 18020 | 2007-09-12 |
| 1265635494 | Tonya Mineo | Speech-Language Pathologist | 3819 Timothy Ln, Bethlehem, PA 18020 | 2007-06-06 |
| Find all providers in zip 18020 | ||||
| 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 |
|---|---|---|---|---|
| 1730747528 | Georgia Dental Professionals, PC | Dentist | 920 Loganville Hwy Ste 100, Bethlehem, GA 30620 | 2019-06-05 |
| 1457917767 | Eric Clark | Dentist | 2597 Schoenersville Rd # A&301b, Bethlehem, PA 18017-7325 | 2019-05-13 |
| 1518445683 | Bethlehem Dentistry, LLC | Dentist | 255 Gateway Drive, Suite 200, Bethlehem, GA 30620 | 2018-08-01 |
| 1851803514 | Lv Sleep Solutions LLC | Dentist | 2019 Industrial Dr Unit 1, Bethlehem, PA 18017-2160 | 2017-11-02 |
| 1114445616 | Adam A Taee | Dentist | 3076 Schoenersville Rd # 101, Bethlehem, PA 18017-2210 | 2017-09-05 |
| 1396199956 | Adnan Qayyum, Dds, LLC | Dentist | 4887 Hanoverville Rd, Bethlehem, PA 18020-9477 | 2016-04-20 |
| 1184922718 | Robert P. Brennan | Dentist | 1940 Johnston Drive, Bethlehem, PA 18017-2799 | 2011-03-07 |
| 1093026148 | Bethlehem Family Dental PC | Dentist | 2162 W Union Blvd, Bethlehem, PA 18018-2011 | 2010-06-23 |
| 1518290683 | Kameran Soleymani | Dentist | 4503 Hanoverville Rd, Bethlehem, PA 18020-9463 | 2009-09-08 |
| 1053573006 | Jagdeep Singh | Dentist | 3086 Glendon Rd, Bethlehem, PA 18017-2547 | 2008-07-01 |
| Find all providers in BETHLEHEM | ||||
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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.