PELKA ENDODONTICS, LLC (NPI# 1609317478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609317478 |
| Entity Type | Organization |
| Organization Name | PELKA ENDODONTICS, LLC |
| Practice Address |
110 Regent Ct State College PA 16801-7966 |
| Practice Telephone | 8142342428 |
| Practice Fax Number | 8142310118 |
| Mailing Telephone | 8142342428 |
| Mailing Fax Number | 8142310118 |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |
| Authorized Official Name | KASIA PELKA (BUSINESS MANAGER) |
| Authorized Official Telephone | 9145882472 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DS039116 | PA | Dental Providers |
| Street Address |
110 REGENT CT |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16801-7966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073532164 | Donald W Wells | Dentist | 110 Regent Ct, State College, PA 16801-7966 | 2006-07-19 |
| 1215249313 | Jakub Pelka | Dentist | 110 Regent Ct, Ste. 100, State College, PA 16801-7966 | 2010-07-07 |
| 1275857484 | Rebecca Agnew | Social Worker | 110 Regent Ct, Suite 103, State College, PA 16801-7966 | 2010-03-16 |
| 1376795393 | Barry L. Holden | Dentist | 110 Regent Ct, Suite #100, State College, PA 16801-7966 | 2008-10-22 |
| 1669656419 | Larry J Assalita | Durable Medical Equipment & Medical Supplies | 110 Regent Ct, Suite 200, State College, PA 16801-7966 | 2007-12-27 |
| 1235354564 | Cheri A Basco | Dentist | 110 Regent Ct, Suite 201, State College, PA 16801-7966 | 2007-04-13 |
| 1205972353 | Celeste Ann Parker | Psychologist | 110 Regent Ct, Suite 103, State College, PA 16801 | 2007-01-29 |
| 1306928015 | Brian Donald Christian | Dentist | 110 Regent Ct, Suite 201, State College, PA 16801-7966 | 2006-10-20 |
| 1891877510 | Scenery Park Dental Associates, PC | Dentist | 110 Regent Ct, Suite 201, State College, PA 16801-7966 | 2006-10-20 |
| 1184716714 | Richard Allen Stuart | Psychologist | 110 Regent Ct, Suite 103, State College, PA 16801 | 2006-09-29 |
| Find all providers in the same location | ||||
| 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 | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962541862 | Robert G Saylor | Dentist | 240 S Burrowes St, State College, PA 16801-4008 | 2007-02-06 |
| 1073532164 | Donald W Wells | Dentist | 110 Regent Ct, State College, PA 16801-7966 | 2006-07-19 |
| 1306836028 | Marc Hertzberg | Dentist | 2590 Park Center Blvd, State College, PA 16801-3005 | 2005-10-25 |
| 1215249313 | Jakub Pelka | Dentist | 110 Regent Ct, Ste. 100, State College, PA 16801-7966 | 2010-07-07 |
| 1073777116 | Central Pennsylvania Endodontics, LLC | Dentist | 240 S Burrowes St, State College, PA 16801-4008 | 2008-07-17 |
| 1952565566 | Mark Daniel Richey | Dentist | 240 S Burrowes St, State College, PA 16801-4008 | 2008-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659982817 | Hallie Rose Landy | Dentist | 2101 Chestnut St Unit 1426, Philadelphia, PA 19103-3138 | 2020-08-12 |
| 1720696123 | Jmk Endodontics LLC | Dentist | 2 Meridian Blvd Ste 216, Wyomissing, PA 19610-3202 | 2020-07-21 |
| 1770105009 | Nhan James Huu Ngo | Dentist | 215 Upland Sq Dr, Pottstown, PA 19464-9427 | 2020-05-08 |
| 1528627130 | Butler Endodontics | Dentist | 1140 N Main Street Ext, Butler, PA 16001-1957 | 2019-06-07 |
| 1518525138 | Melanie Elizabeth Wallace Martel | Dentist | 600 W Dekalb Pike Ste 301, King of Prussia, PA 19406-3060 | 2019-05-29 |
| 1235794215 | Chester County Endodontics, PC | Dentist | 404 Mcfarlan Rd Ste 302, Kennett Square, PA 19348-2479 | 2019-05-06 |
| 1487147039 | Three Rivers Endodontics East LLC | Dentist | 5770 Baum Blvd Ste 150, Pittsburgh, PA 15206-3763 | 2018-06-08 |
| 1558868182 | Downtown Endodontics, LLC | Dentist | 125 Sixth Street, Suite A, Pittsburgh, PA 15222 | 2018-04-10 |
| 1245747583 | Jk Endodontics | Dentist | 555 Second Ave Ste G-108, Collegeville, PA 19426-3600 | 2018-01-09 |
| 1194173377 | David Shin | Dentist | 3945 Chestnut St Apt 405, Philadelphia, PA 19104-3626 | 2016-05-29 |
| 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.