DEANNA SUE DUDENBOSTEL (NPI# 1518914845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518914845 |
| Entity Type | Individual |
| Full Name | DEANNA SUE DUDENBOSTEL |
| Credential | DMD |
| Practice Address |
2621 N Broad St Suite B Colmar PA 18915-9401 |
| Mailing Address |
452 Redbud Ct Warrington PA 18976-2623 |
| Practice Telephone | 2158226777 |
| Mailing Telephone | 2154918623 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2008-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DS028846L | PA | Dental Providers |
| Street Address |
2621 N BROAD ST SUITE B |
| City | COLMAR |
| State | PA |
| Zip Code | 18915-9401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205974151 | Jacqueline Marie Sardaro | Physical Therapist | 2621 N Broad St, Colmar, PA 18915-9401 | 2007-02-02 |
| 1255479101 | Comprehensive Physical Therapy and Fitness, LLC | Physical Therapist | 2621 N Broad St, Colmar, PA 18915-9401 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100531 | Penn Foundation, Inc. | Community/Behavioral Health | 271 Bethlehem Pike Ste 201, Colmar, PA 18915 | 2018-07-09 |
| 1447773874 | Karen Ann Korman | Counselor | 160 Bethlehem Pike, Suite 120, Colmar, PA 18915 | 2017-07-18 |
| 1265569503 | Gregory Paul Bach | Family Medicine | 2415 N Broad St, Colmar, PA 18915 | 2007-02-27 |
| 1508937392 | Introspect of Buxmont, Ltd | Psychologist | 2321 North Broad St, Introspect, Colmar, PA 18915 | 2006-11-13 |
| 1710058516 | Louis W Stamps | Psychologist | 2321 North Broad Street, Colmar, PA 18915 | 2006-11-13 |
| 1952785693 | James Park | Dentist | 2200 N Broad St, Colmar, PA 18915 | 2015-07-13 |
| 1447325287 | Williard J Shanken | Psychiatry & Neurology | 2321 N Broad St, Colmar, PA 18915 | 2006-11-21 |
| 1912072752 | Avril Hope Takiff | Psychologist | 2321 N Broad St, Colmar, PA 18915 | 2006-11-21 |
| 1003988429 | Frank Sergi | Psychologist | 2321 N Broad St, Colmar, PA 18915 | 2006-11-14 |
| 1124190525 | James E Veverka | Social Worker | 2321 N Broad St, Colmar, PA 18915 | 2006-11-14 |
| Find all providers in zip 18915 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225537640 | Colmar Dentistry for Kids | Dentist | 2621 N Broad St Ste B, Colmar, PA 18915-9401 | 2018-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598309106 | Sea of Smiles 4 LLC | Dentist | 361 Highland Ave Ste 203, Jenkintown, PA 19046-2632 | 2019-11-06 |
| 1538701594 | John Capparell & Connie Mallozzi | Dentist | 20 N Laurel St # 2-c, Hazleton, PA 18201-5948 | 2019-10-11 |
| 1215584503 | Bright Smiles Kids Dentistry | Dentist | 410 W Lancaster Ave Ste 106, Devon, PA 19333-1588 | 2019-08-21 |
| 1841846458 | Bensalem, Smiles Inc | Dentist | 2548 Street Rd, Bensalem, PA 19020-2644 | 2019-08-11 |
| 1154976991 | Advanced Pediatric Dentistry LLC | Dentist | 220 Cumberland Pkwy Ste 6&7, Mechanicsburg, PA 17055-5683 | 2019-08-08 |
| 1205495512 | Lanz Pediatric Dentistry, LLC | Dentist | 3402 Washington Rd Ste 205, Mc Murray, PA 15317-2964 | 2019-06-10 |
| 1982267084 | Farm Park Pediatric Dentistry | Dentist | 502 W Germantown Pike Ste 100, East Norriton, PA 19403-4232 | 2019-04-15 |
| 1053878892 | Alexis Gilliam | Dentist | 2820 Whiteford Rd, York, PA 17402-7620 | 2019-02-28 |
| 1346705050 | Happy Teeth Proffesionals, LLC | Dentist | 165 Levittown Pkwy Ste B, Levittown, PA 19055-2464 | 2019-02-06 |
| 1902373111 | Cavity Busters Doylestown LLC | Dentist | 708 N Shady Retreat Rd Ste 2, Doylestown, PA 18901-2503 | 2018-10-25 |
| Find all providers with the same taxonomy | ||||
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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.