DR. SCOTT A. GRADWELL (NPI# 1619074796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619074796 |
| Entity Type | Individual |
| Full Name | DR. SCOTT A. GRADWELL |
| Credential | D.M.D. |
| Practice Address |
1245 S Cedar Crest Blvd Suite 200 Allentown PA 18103-6258 |
| Practice Telephone | 6107701050 |
| Mailing Telephone | 6107701050 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DS026216L | PA | Dental Providers |
| Street Address |
1245 S CEDAR CREST BLVD SUITE 200 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427042415 | Michael D. Figard | Physician Assistant | 1245 S Cedar Crest Blvd, Suite 301, Allentown, PA 18103-6258 | 2005-09-06 |
| 1205455748 | Amy Weinsteiger | Counselor | 1245 S Cedar Crest Blvd, Allentown, PA 18103-6258 | 2020-04-14 |
| 1699306613 | Nancy E. Stone | Counselor | 1245 S Cedar Crest Blvd, Allentown, PA 18103-6258 | 2020-01-29 |
| 1639632987 | Cynthia Buchter | Counselor | 1245 S Cedar Crest Blvd, Allentown, PA 18103-6258 | 2019-04-12 |
| 1902389877 | Desiree Tartar | Nurse Practitioner | 1245 S Cedar Crest Blvd, Suite 201, Allentown, PA 18103-6267 | 2018-09-07 |
| 1093135386 | Travis Dayon | Obstetrics & Gynecology | 1245 S Cedar Crest Blvd, Suite 201, Allentown, PA 18103-6267 | 2014-04-24 |
| 1174885065 | Eunice Lee | Obstetrics & Gynecology | 1245 S Cedar Crest Blvd, Suite 201, Allentown, PA 18103-6258 | 2012-06-15 |
| 1609169887 | Sandra A Grello | Nurse Practitioner | 1245 S Cedar Crest Blvd, Suite 301, Allentown, PA 18103-6258 | 2011-05-23 |
| 1649507237 | Rebekah Joy Bachman | Physician Assistant | 1245 S Cedar Crest Blvd, Ste 201, Allentown, PA 18103-6258 | 2009-11-03 |
| 1972730455 | Stephanie-marie Lynn Jones | Obstetrics & Gynecology | 1245 S Cedar Crest Blvd, Suite 201, Allentown, PA 18103-6267 | 2009-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1558980169 | Shelley M. Spence | Occupational Therapist | 1243 South Cc Blvd., Suite 302, Allentown, PA 18103 | 2020-04-14 |
| 1386133791 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 | 2018-05-02 |
| 1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
| 1942701008 | Bradford Young Family & Cosmetic Dentistry | Dentist | 1275 S. Cedar Crest Boulevard, Allentown, PA 18103 | 2018-02-23 |
| 1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1669992962 | Aaron Michael Roman | Audiologist | 1210 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-27 |
| 1134658404 | Gyujae Choi | Internal Medicine | 1200 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-08 |
| 1255713731 | Firely Home for Kids | Skilled Nursing Facility | 2402 Sunshine Rd, Allentown, PA 18103 | 2015-06-22 |
| Find all providers in zip 18103 | ||||
| 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 |
| 1538176300 | John L Potter | Dentist | 3131 College Heights Blvd., Suite 2800, Allentown, PA 18104 | 2006-08-02 |
| 1710407168 | Gayathri Manjunath Shenoy | Dentist | 23 N 6th St, Allentown, PA 18101-1431 | 2017-06-26 |
| 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 |
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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.