SCHUYLKILL MALL DENTAL (NPI# 1396969093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396969093 |
| Entity Type | Organization |
| Organization Name | SCHUYLKILL MALL DENTAL |
| Practice Address |
Schuylkill Mall Dental Route 61 At Interstate 81 Frackville PA 18219 |
| Practice Telephone | 5708743714 |
| Practice Fax Number | 5708743444 |
| Mailing Telephone | 5708743714 |
| Mailing Fax Number | 5708743444 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-06-20 |
| Authorized Official Name | DR. RAYMOND EDWARD HISCHE (OWNER) |
| Authorized Official Telephone | 5708743714 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS024286L | PA | Dental Providers |
| Street Address |
SCHUYLKILL MALL DENTAL ROUTE 61 AT INTERSTATE 81 |
| City | FRACKVILLE |
| State | PA |
| Zip Code | 18219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275880056 | Ryan Michael Diana | Chiropractor | 38 Lawson Place, Conyngham, PA 18219 | 2012-08-10 |
| 1982844056 | Joseph Thomas Bellucci | Counselor | 7 Hetler Drive, Conyngham, PA 18219 | 2009-03-02 |
| 1790825784 | Tricia Michael Eyerly | Chiropractor | Brookhill Center Rt 93, Suite 1, Conyngham, PA 18219 | 2007-02-07 |
| 1447366570 | Mary-jane Ward | Family Medicine | 642 Brookhill Sq South, Conyngham, PA 18219 | 2006-08-22 |
| 1295810711 | Howard M Folk | Pharmacist | 303 Main Street, Conyngham, PA 18219 | 2006-10-25 |
| 1700810215 | John Joseph Shalanski | Social Worker | 90 Benjamin Ave, Conyngham, PA 18219-0006 | 2006-07-10 |
| 1023438777 | Daniel Edwin Benyo | Internal Medicine | 314 Main Street, Suite C, Conyngham, PA 18219-0395 | 2014-04-21 |
| 1184777609 | Christina G Falvello | Physician Assistant | 54 West Benjamin Ave, Conyngham, PA 18219-0654 | 2007-01-19 |
| 1316002934 | Bruch Eye Care Associates | Durable Medical Equipment & Medical Supplies | Valley Plaza, Rt 93, Conyngham, PA 18219-0752 | 2006-12-26 |
| 1043220130 | Jean Ann Bruch | Optometrist | 647 S R 93, Valley Plaza Ste 7, Conyngham, PA 18219-0752 | 2006-08-09 |
| Find all providers in zip 18219 | ||||
| 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 |
|---|---|---|---|---|
| 1982706859 | David D. Paul, D.d.s., P.C. | Dentist | 128 W Oak St, Frackville, PA 17931-1718 | 2006-09-02 |
| 1154365773 | Raymond Edward Hische | Dentist | Route 61 At Interstate 81, Schuylkill Mall Dental, Frackville, PA 17931 | 2006-06-15 |
| 1366416828 | Broad Mountain Family Dentistry, P.C. | Dentist | 309 W Pine St, Frackville, PA 17931-1211 | 2006-02-13 |
| 1487166799 | Merit Dental Inc. | Dentist | 128 W Oak St, Frackville, PA 17931-1718 | 2017-10-26 |
| 1063844132 | David Dean Paul | Dentist | 128 W Oak St, Frackville, PA 17931-1718 | 2013-07-31 |
| 1902981475 | Frank Joseph Blozusky | Dentist | 309 W Pine St, Frackville, PA 17931-1211 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760087 | Rg Dental Group of Richboro, LLC | Dentist | 56 Newtown Richboro Rd., Suite 1, Richboro, PA 18954 | 2020-11-02 |
| 1790385581 | Samir Zahedpasha | Dentist | 1933 Delancey Pl, Philadelphia, PA 19103-6611 | 2020-10-29 |
| 1225636087 | Clark Dental Associates, LLC | Dentist | 7 Bala Ave Ste 301, Bala Cynwyd, PA 19004-3205 | 2020-10-14 |
| 1336747450 | Drexel Hill Smiles PC | Dentist | 4605 State Rd, Drexel Hill, PA 19026-4423 | 2020-10-12 |
| 1568074631 | Haley Ciccarelli | Dentist | 3475 W Chester Pike Ste 220, Newtown Square, PA 19073-4291 | 2020-08-20 |
| 1770195000 | Steven Dodson | Dentist | 7573 Woodbury Pike, Roaring Spring, PA 16673-1601 | 2020-08-18 |
| 1376154807 | Katherine Marie Stranieri | Dentist | 127 S Spring Garden St, Ambler, PA 19002-4726 | 2020-08-10 |
| 1407466162 | Christa A Musto | Dentist | 575 Pierce St Ste 201, Kingston, PA 18704-5700 | 2020-08-06 |
| 1669082632 | Nepa Dental Group, Inc | Dentist | 920 Wyoming Ave Ste 104, Forty Fort, PA 18704-3970 | 2020-08-05 |
| 1184234023 | Bucks County Dental Design, PC | Dentist | 95 Almshouse Rd Ste 201, Richboro, PA 18954-1155 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
| City | FRACKVILLE |
| Zip Code | 18219 |
Please comment or provide details below to improve the information on SCHUYLKILL MALL DENTAL.
| 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.