WHITE FAMILY DENTAL - MASONIC VILLAGE PLLC (NPI# 1275913584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275913584 |
| Entity Type | Organization |
| Organization Name | WHITE FAMILY DENTAL - MASONIC VILLAGE PLLC |
| Practice Address |
83 North Freemason Dr Elizabethtown PA 17022 |
| Mailing Address |
Po Box 437169 Louisville KY 40253-7169 |
| Practice Telephone | 7173662466 |
| Mailing Telephone | 5022548500 |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |
| Authorized Official Name | STEPHEN JAMES (CFO) |
| Authorized Official Telephone | 5027835945 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
83 NORTH FREEMASON DR |
| City | ELIZABETHTOWN |
| State | PA |
| Zip Code | 17022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669967162 | William Joseph Borowski | Dentist | 100 Continental Drive, Elizabethtown, PA 17022 | 2018-06-27 |
| 1477042422 | Sarah Marie Altman-kopko | Speech-Language Pathologist | 928 Hedgewyck Ln, Elizabethtown, PA 17022 | 2018-05-05 |
| 1013421676 | Michele Marie Heffner | Counselor | 222 S. Market Street, Suite 104, Elizabethtown, PA 17022 | 2017-11-18 |
| 1003325184 | Caroline Elizabeth Weisser | Physician Assistant | 432 Cloverleaf Road, Elizathebtown, PA 17022 | 2017-09-21 |
| 1710359146 | Carissa Ressler LLC | Massage Therapist | 8 East High Street, Elizabethtown, PA 17022 | 2015-10-26 |
| 1386013092 | Matthew Jacob Hoover | Physical Therapist | 19 Silver Drive, Elizabethtown, PA 17022 | 2015-09-23 |
| 1851781801 | Central Pa Therapy Connections, LLC | Speech-Language Pathologist | 36 Creekside Dr., Elizabethtown, PA 17022 | 2015-01-29 |
| 1053719120 | Corrine Mcgrail | Occupational Therapist | 138 Raven Place, Elizabethtown, PA 17022 | 2014-12-05 |
| 1639506843 | Bouquet Mulligan Demaio Eye Professionals | Optometrist | 600 Free Mason Drive, Elizabethtown, PA 17022 | 2013-10-02 |
| 1003145228 | Bryan M Hoyt | Physical Therapist | 626 S. Market Street, Elizabethtown, PA 17022 | 2009-12-17 |
| Find all providers in zip 17022 | ||||
| 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 |
|---|---|---|---|---|
| 1669967162 | William Joseph Borowski | Dentist | 100 Continental Drive, Elizabethtown, PA 17022 | 2018-06-27 |
| 1215450184 | Robert Cleveland Gleason | Dentist | 3100 Ring Rd Ste 104, Elizabethtown, KY 42701-1282 | 2017-07-21 |
| 1467879031 | Jefferson Newbern, Dmd, Pllc | Dentist | 2030 N Dixie Hwy, Elizabethtown, KY 42701-9495 | 2014-03-21 |
| 1811332463 | Hammer and Vanzant Family Dentistry Psc | Dentist | 2405 Ring Road, Elizabethtown, KY 42701 | 2013-05-08 |
| 1003251455 | Ryan H Peace | Dentist | 2865 Ring Rd, Suite 100, Elizabethtown, KY 42701-9114 | 2013-04-29 |
| 1952659278 | Benko & Benko Associates | Dentist | 1083 Dairy Ln, Elizabethtown, PA 17022-9547 | 2012-08-16 |
| 1881924959 | Nicholas S Ising | Dentist | 1102 Woodland Dr, Elizabethtown, KY 42701-2750 | 2010-01-12 |
| 1437322492 | Community Health & Emergency Services, Inc. | Dentist | Il Route 146 Building 2, Elizabethtown, IL 62931 | 2008-04-10 |
| 1912189382 | Charles D. Allen, Jr., Dds, Pa | Dentist | 508 Mckay St, Elizabethtown, NC 28337-0235 | 2007-11-28 |
| 1558483065 | Terry D. Hinton | Dentist | 2736 Ring Rd, Elizabethtown, KY 42701-9151 | 2007-04-04 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 17022 |
Please comment or provide details below to improve the information on WHITE FAMILY DENTAL - MASONIC VILLAGE PLLC.
| 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.