SERENA M COLLETTI (NPI# 1306914155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306914155 |
| Entity Type | Individual |
| Full Name | SERENA M COLLETTI |
| Credential | DDS |
| Practice Address |
240 Geiger Rd Philadelphia PA 19115-1008 |
| Practice Telephone | 6104051768 |
| Mailing Telephone | 6104051768 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2012-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DS025942L | PA | Dental Providers |
| Street Address |
240 GEIGER RD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19115-1008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215038252 | Red Lion Surgicenter, LLC | Clinic/Center | 240 Geiger Rd, Philadelphia, PA 19115-1008 | 2006-09-25 |
| 1720602402 | David Arthur Lawrence | Dentist | 240 Geiger Rd, Philadelphia, PA 19115-1008 | 2020-05-29 |
| 1932761533 | Paul Jonathan Kolman | Dentist | 240 Geiger Rd, Philadelphia, PA 19115-1008 | 2019-07-03 |
| 1669034484 | Sabrina Mara Dorfmann | Dentist | 240 Geiger Rd, Philadelphia, PA 19115-1008 | 2019-07-01 |
| 1255995965 | Natalia Mari Munoz Guadalupe | Dentist | 240 Geiger Rd, Philadelphia, PA 19115-1008 | 2019-04-29 |
| 1700358041 | Amanda Tran | Dentist | 240 Geiger Rd, Philadelphia, PA 19115-1008 | 2018-12-27 |
| 1144710047 | Julianna Kopakowski | Dentist | 240 Geiger Rd, Philadelphia, PA 19115-1008 | 2018-05-16 |
| 1073002697 | Khushali Ghetia | Dentist | 240 Geiger Rd, Philadelphia, PA 19115-1008 | 2018-05-09 |
| 1144750944 | Meredith Ann Jones | Dentist | 240 Geiger Rd, Philadelphia, PA 19115 | 2017-06-14 |
| 1811424013 | Alexis Lee Ginnane | Dentist | 240 Geiger Rd, Philadelphia, PA 19115-1008 | 2017-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442696 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2044 Red Lion Road, Philadelphia, PA 19115 | 2020-09-21 |
| 1639717762 | Cassondra Ondeck | Physical Therapist | Paul's Run Retirement Community, 9896 Bustleton Ave, Philadelphia, PA 19115 | 2019-12-19 |
| 1740747641 | Comfort Ride Transit Inc | Non-emergency Medical Transport (VAN) | 248 Geiger Road, Suite 201 Unit D, Philadelphia, PA 19115 | 2019-02-27 |
| 1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
| 1659857027 | Kiesha Anita Abney | Occupational Therapy Assistant | Chapel Manor (genesis Rehabilitation) 1104 Welsh Road, Philadelphia, PA 19115 | 2018-07-18 |
| 1457844870 | Philadelphia Discount Pharmacy LLC | Pharmacist | 842 Red Lion Road Unit 13, Philadephia, PA 19115 | 2018-06-11 |
| 1770001828 | Ciarra Bell | Occupational Therapist | 828 Red Lion Rd, Philadelphia, PA 19115 | 2017-09-08 |
| 1245604008 | Saria Ibrahim | Counselor | 9651 Clark Street, Philadelphia, PA 19115 | 2015-11-17 |
| 1124413166 | Global Dental Plus LLC | Dentist | 9630 Bustleton Av 2nd Fl, Philadelphia, PA 19115 | 2015-04-06 |
| 1932510161 | Miriam John | Occupational Therapist | 9997 Sandy Road, Philadelphia, PA 19115 | 2014-05-09 |
| Find all providers in zip 19115 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659982817 | Hallie Rose Landy | Dentist | 2101 Chestnut St Unit 1426, Philadelphia, PA 19103-3138 | 2020-08-12 |
| 1194173377 | David Shin | Dentist | 3945 Chestnut St Apt 405, Philadelphia, PA 19104-3626 | 2016-05-29 |
| 1427412691 | Alan Morris Barnett | Dentist | 7601 Castor Avenue., Suite #302, Philadelphia, PA 19152-4027 | 2016-04-13 |
| 1336434919 | Casandra Lee Tessaro | Dentist | 3131 Walnut St, 205, Philadelphia, PA 19104-3415 | 2011-06-13 |
| 1821308487 | Edward M. Segal, D.d.s., Associates | Dentist | 6508 Ridgeavenue, Philadelphia, PA 19128 | 2010-10-18 |
| 1073835005 | Kuo-wei Lin | Dentist | 1601 Walnunt Street, Suite 402, Philadelphia, PA 19102 | 2010-02-18 |
| 1790706778 | Premier Endodontics, PC | Dentist | 4101 Tyson Ave, Philadelphia, PA 19135-1615 | 2006-07-22 |
| 1316985864 | Alan M Barnett Bds Associates | Dentist | 7601 Castor Avenue, Suite 302, Philadelphia, PA 19152-4026 | 2006-06-04 |
| 1164023800 | Nasim Levin | Dentist | 240 S 40th St, Philadelphia, PA 19104-6030 | 2020-11-07 |
| 1386252070 | Maria Jun | Dentist | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2020-07-19 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19115 |
Please comment or provide details below to improve the information on SERENA M COLLETTI.
| 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.