DR. STEPHEN L ENGROFF (NPI# 1366474314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366474314 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN L ENGROFF |
| Credential | MD DDS |
| Practice Address |
200 W Beaver Ave Suite 100 State College PA 16801 |
| Practice Telephone | 8142380587 |
| Practice Fax Number | 8142383840 |
| Mailing Telephone | 8142380587 |
| Mailing Fax Number | 8142383840 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
MD422877 | PA | Dental Providers |
| X | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
DS035655 | PA | Dental Providers |
| X | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
MO422877 | PA | Dental Providers |
| X | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS035655 | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GEISINGER HEALTH PLAN | 79677 | 01 | |
| CAPITAL BUSE CROSS | 50016023 | 01 | |
| HIGHMARK | EN1480132 | 01 |
| Street Address |
200 W BEAVER AVE SUITE 100 |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265479638 | Tri-county Oral-facial Surgeons, PC | Dentist | 200 W Beaver Ave, Suite 100, State College, PA 16801 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851880975 | Creative Reflections Counseling, LLC | Counselor | 315 S Allen St Ste 124b, State College, PA 16801 | 2018-05-03 |
| 1679097901 | Michelle L Grove | Home Health Aide | 2100 E College Ave Ste B, State College, PA 16801 | 2017-07-28 |
| 1740702034 | Matthew Ishler | Counselor | 315 S. Allen Street Ste 326, State College, PA 16801 | 2017-07-09 |
| 1699206300 | Emily Lauer | Specialist/Technologist | 102a Multisport Indoor Facility, State College, PA 16801 | 2017-03-23 |
| 1740721075 | Luk Devorski | Student in an Organized Health Care Education/Training Program | Rec Hall University Park, Penn State University, State College, PA 16801 | 2017-03-20 |
| 1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
| 1740685858 | Mallory L. Miller | Physician Assistant | 100 Radnor Rd Ste 101, State College, PA 16801 | 2014-10-31 |
| 1386053981 | Christopher Hippenmeyer | Specialist/Technologist | 102a East Area Locker Building, Pennsylvania State University, University Park, PA 16801 | 2014-08-07 |
| 1982022059 | Christy Sharer | Counselor | 301 S Allen St Ste 106, State College, PA 16801 | 2014-04-04 |
| 1912250523 | Eva M Letwin | Counselor | 2011 Cato Ave Ste 201, State College, PA 16801 | 2012-10-19 |
| Find all providers in zip 16801 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356648471 | Elizabeth Ann Bilodeau | Dentist | G-141 Salk Hl, 3501 Terrace St, Pittsburgh, PA 15261-0001 | 2011-02-25 |
| 1790803583 | Neal Bozentka D.m. D | Dentist | 700 S Chester Rd, Swarthmore, PA 19081-2224 | 2007-03-27 |
| 1265571426 | Nicholas J Fedorka Dmd PC | Dentist | 505 Poplar Street, Meadville, PA 16335 | 2007-02-05 |
| 1124171632 | Allied Dental Group | Dentist | 234 South Main Street, Slippery Rock, PA 16057 | 2007-01-19 |
| 1861574154 | Christine Stanely | Dentist | 1095 Texas Palmyra Hwy, Suite M, Honesdale, PA 18431-7672 | 2006-10-19 |
| 1003822636 | Robert J O'leary | Dentist | 200 Maple Ave, Corry, PA 16407-1655 | 2006-08-01 |
| 1245252659 | Michael J. Mundenar | Dentist | 606 Floral Vale Blvd, Yardley, PA 19067-5528 | 2006-07-24 |
| 1003847625 | Stephen Edward Irwin | Dentist | 317 North Eleventh Street, Sunbury, PA 17801 | 2006-07-05 |
| 1992765184 | Jeffrey Lee Rajchel | Dentist | 2201 Dover Rd, Harrisburg, PA 17112-1003 | 2006-03-23 |
| 1215906268 | Ira David Atcheson | Dentist | 255 3rd St, Beaver, PA 15009-2350 | 2006-03-14 |
| Find all providers with the same taxonomy | ||||
| City | STATE COLLEGE |
| Zip Code | 16801 |
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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.