OPTIMA DENTAL (NPI# 1396198198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396198198 |
| Entity Type | Organization |
| Organization Name | OPTIMA DENTAL |
| Practice Address |
222 Commerce Cir Bristol PA 19007-3113 |
| Practice Telephone | 7326667415 |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |
| Authorized Official Name | VIJI SEETHARAMAN (OWNER) |
| Authorized Official Telephone | 7326667415 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | STATE LICENSE | DS039249 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | OPTIMA DENTAL | 17437 Boones Ferry Rd Ste 200, Lake Oswego, OR 97035 |
| New York State Corporations | OPTIMA DENTAL PLLC | 51-05 Junction Blvd 2nd Fl, Elmhurst, New York 11373 |
| Street Address |
222 COMMERCE CIR |
| City | BRISTOL |
| State | PA |
| Zip Code | 19007-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222952 | Lynn Nicole Ackert | Counselor | 499 Bath Road, Bristol, PA 19007 | 2020-10-14 |
| 1881219863 | Eahab Abdul-lattif | Internal Medicine | 500 Bath Road, Bristol, PA 19007 | 2020-06-15 |
| 1811494248 | Lower Bucks Physician Associates, PC | Pathology | 1 Bath Road, Bristol, PA 19007 | 2018-04-11 |
| 1235658147 | Leah Elizabeth Cohen | Social Worker | 100 Green Ln Ste 2, Bristol, PA 19007 | 2017-09-12 |
| 1922524842 | Genevieve Rongione | Occupational Therapist | Nova Care 100 Green Lane, Bristol, PA 19007 | 2017-08-22 |
| 1609263516 | Katrina Shchupak | Psychiatry & Neurology | 499 Bath Rd, Bristol, PA 19007 | 2015-04-17 |
| 1639504426 | Scott W Pfaff | Physical Therapist | 220 Commerce Circle, Bristol, PA 19007 | 2013-09-11 |
| 1861739997 | Conscu Inc | Ambulance | 2720 Bartam Rd, Suite 7, Bristol, PA 19007 | 2013-01-09 |
| 1417214537 | Leonard Davidson | Family Medicine | 202 Jefferson Ave, Bristol, PA 19007 | 2012-04-13 |
| 1831472067 | Timothy Michael Leicht | Physician Assistant | 335 Radcliffe St., Physician Assistant Surgical Associates, LLC, Bristol, PA 19007 | 2011-09-23 |
| Find all providers in zip 19007 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629695150 | Vishal Bhambri | Dentist | 130 Mill St, Bristol, PA 19007-4807 | 2020-07-01 |
| 1891356135 | Esther Lee | Dentist | 1401 Volunteer Pkwy Apt 3, Bristol, TN 37620-6009 | 2019-06-26 |
| 1376035741 | Cody D Christian | Dentist | 1705 Edgemont Ave, Bristol, TN 37620-4307 | 2018-06-01 |
| 1013328442 | Victoria C. Bettis, Dds,llc | Dentist | 14391 Lee Hwy, Bristol, VA 24202-4319 | 2014-05-20 |
| 1215297023 | Kelly J Perry | Dentist | 100 Robie Rd, Bristol, NH 03222-6063 | 2012-05-25 |
| 1285953653 | Bristol Plaza Family Dental | Dentist | 1192 Farmington Ave, Unit D, Bristol, CT 06010-4752 | 2010-05-25 |
| 1336478882 | Paul M Kotuby Jr. | Dentist | 15 Gooding Avenue, Suite 1, Bristol, RI 02809-2600 | 2009-12-11 |
| 1245471978 | Pa Smile Center P.C. | Dentist | 1212 New Rodgers Rd, Suite A-1, Bristol, PA 19007-2512 | 2009-03-09 |
| 1962661223 | Roger Dale Keller | Dentist | 1039 Highway 126, Bristol, TN 37620-3223 | 2008-06-03 |
| 1538343405 | Alamont Dental Associates, P.C. | Dentist | 401 Martin Luther King Jr. Blvd., Bristol, TN 37620 | 2007-12-27 |
| Find all providers in BRISTOL | ||||
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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.