DR. JOHN L POTTER (NPI# 1538176300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538176300 |
| Entity Type | Individual |
| Full Name | DR. JOHN L POTTER |
| Credential | D.M.D. |
| Practice Address |
3131 College Heights Blvd. Suite 2800 Allentown PA 18104 |
| Practice Telephone | 6104332300 |
| Practice Fax Number | 6104334592 |
| Mailing Telephone | 6104332300 |
| Mailing Fax Number | 6104334592 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
D5028897L | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | TAX ID# | 743038222 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932698008 | John Robert Potter | Counselor | 551 21st Ave, Longview, WA 98632-1303 | 2018-05-04 |
| 1134453046 | John Michael Potter | Dentist | 1441 N Cockrell Hill Rd, Dallas, TX 75211-1306 | 2009-09-24 |
| 1144314659 | John Roger Potter | Pediatrics | 700 13th St, Ashland, KY 41101 | 2006-10-02 |
| 1265055222 | John Potter | Counselor | 6161 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2020-05-26 |
| 1326680588 | John Albert Potter IIi | Social Worker | 883 Paddock Ave, Meriden, CT 06450-7044 | 2019-10-09 |
| 1922203645 | John Potter | Counselor | 702 W Main St, Madison, WI 53715-1424 | 2007-06-21 |
| 1083740948 | John Potter | Specialist | 3960 Walnut Dr, Eureka, CA 95503-8938 | 2007-02-26 |
| 1912056144 | John Randall Potter | Counselor | 3900 W Brown Deer Rd, Suite 200, Brown Deer, WI 53209 | 2007-01-09 |
| 1437118007 | John C Potter | Emergency Medicine | 1840 Amherst St, Winchester, VA 22601-2808 | 2006-03-21 |
| Street Address |
3131 COLLEGE HEIGHTS BLVD. SUITE 2800 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134191 | The Calm Space LLC | Social Worker | 2047 Pa-309, Allentown, PA 18104 | 2020-08-13 |
| 1790333458 | Loanna T Nguyen | Nurse Practitioner | 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 | 2019-08-27 |
| 1093360513 | Meghan Paul | Pharmacist | 1727 W Liberty Street, Unit 2, Allentown, PA 18104 | 2019-08-02 |
| 1750948154 | Patricia Terreros | Counselor | 3057 College Heights Blvd Suite Ll, Allentown, PA 18104 | 2019-05-22 |
| 1023593084 | Hearvana | Clinic/Center | 2200 Wets Hamilton Street Suite 311, Allentown, PA 18104 | 2018-09-26 |
| 1700397098 | Amanda L Sellers | Psychologist | 121 N Cedar Crest Blvd Ste A, Allentown, PA 18104 | 2017-10-13 |
| 1689104457 | Craig Ryan Miller | Physical Therapist | 1651 N Cedar Crest Blvd Ste 100, Allentown, PA 18104 | 2017-06-14 |
| 1780128207 | Brandi Nicole Burns | Pediatrics | 1517 Pond Road, Allentown, PA 18104 | 2016-12-19 |
| 1750824264 | William Edward Thawley | Pharmacist | 322 N 7th St., Allentown, PA 18104 | 2016-12-01 |
| 1609222371 | Extremity Mri Inc | Radiologic Technologist | 3131 College Heights Blvd Ste 400, Allentown, PA 18104 | 2016-05-11 |
| Find all providers in zip 18104 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679794317 | Thomas J Mckee | Dentist | 1259 S. Cedar Crest Blvd., Suite 330, Allentown, PA 18103-6372 | 2007-05-01 |
| 1710407168 | Gayathri Manjunath Shenoy | Dentist | 23 N 6th St, Allentown, PA 18101-1431 | 2017-06-26 |
| 1619074796 | Scott A. Gradwell | Dentist | 1245 S Cedar Crest Blvd, Suite 200, Allentown, PA 18103-6258 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471913 | Martin L. Supowitz, Dmd, Msd, LLC | Dentist | 5433 Walnut St Ste 200, Pittsburgh, PA 15232-3215 | 2020-09-11 |
| 1780239228 | Hatboro Dental & Specialty LLC | Dentist | 122 N York Rd Ste 2, Hatboro, PA 19040-2622 | 2019-08-01 |
| 1679125835 | Amanda Marie Clemente | Dentist | 3501 Terrace St # B89, Pittsburgh, PA 15213-2523 | 2019-07-09 |
| 1235792458 | Fany Briseyda Ocampo | Dentist | 2137 Welsh Rd Ste 2a, Philadelphia, PA 19115-4963 | 2019-04-15 |
| 1043771447 | Kara Deanne Dragone | Dentist | 8890 Royal Manor Dr Apt 302, Allison Park, PA 15101-2783 | 2019-03-27 |
| 1801356423 | Nicholas Anzur | Dentist | 4225 Trindle Rd, Camp Hill, PA 17011-5752 | 2019-03-20 |
| 1992261036 | Manal Sabir | Dentist | 2200 Benjamin Franklin Pkwy Apt S1603, Philadelphia, PA 19130-3618 | 2019-02-13 |
| 1699242024 | Michael S Ayes Dds and Associates Pennsylvania Vi, PC | Dentist | 70 Buckwalter Rd Ste 309, Royersford, PA 19468-1846 | 2018-10-24 |
| 1043736051 | Miriam Ting | Dentist | 250 W Lancaster Ave Ste 215, Paoli, PA 19301-1751 | 2017-08-21 |
| 1104378611 | Natalie Amoa | Dentist | 8021b Castor Ave, Philadelphia, PA 19152-2733 | 2016-10-31 |
| 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.