DR. RANDY R NOLF (NPI# 1629298484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629298484 |
| Entity Type | Individual |
| Full Name | DR. RANDY R NOLF |
| Credential | D.D.S. |
| Practice Address |
1521 8th Ave Suite 101 Bethlehem PA 18018-1893 |
| Practice Telephone | 6108658077 |
| Practice Fax Number | 6108658112 |
| Mailing Telephone | 6108658077 |
| Mailing Fax Number | 6108658112 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2016-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DS021029L | PA | Dental Providers |
| Street Address |
1521 8TH AVE SUITE 101 |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18018-1893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033158910 | Center for Oral and Maxillofacial Surgery and Implantology At St. Luke | Dentist | 1521 8th Ave, Suite 100, Bethlehem, PA 18018-1865 | 2006-06-06 |
| 1407306095 | Kimberley Polizzano | Physician Assistant | 1521 8th Ave, Suite 201, Bethlehem, PA 18018-1893 | 2016-10-07 |
| 1144573544 | Nicole M Nye | Nurse Practitioner | 1521 8th Ave, Suite 201, Bethlehem, PA 18018-1893 | 2012-10-23 |
| 1376825653 | Veronica Teslyn Barreto | Dentist | 1521 8th Ave, Suite 101, Bethlehem, PA 18018-1893 | 2011-09-13 |
| 1831471028 | Assabi A Isaac | Dentist | 1521 8th Ave, Bethlehem, PA 18018-1893 | 2011-09-13 |
| 1508187295 | Zachary John Piotrowski | Urology | 1521 8th Ave, Suite 201, Bethlehem, PA 18018-1893 | 2010-06-16 |
| 1689905085 | Karl D. Maloney | Dentist | 1521 8th Ave, 1st Floor, Bethlehem, PA 18018-1893 | 2010-01-25 |
| 1407083199 | Kaveh Kousari | Surgery | 1521 8th Ave, Suite 201, Bethlehem, PA 18018-1893 | 2009-06-19 |
| 1881837904 | Zachariah G Goldsmith | Urology | 1521 8th Ave, Suite 201, Bethlehem, PA 18018-1893 | 2009-04-20 |
| 1831108968 | St. Luke's Physician Group, Inc. | Urology | 1521 8th Ave, Suite 201, Bethlehem, PA 18018-1893 | 2006-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373292 | Jade Madison Hennessy | Specialist/Technologist | Moravian College, 1200 Main Street, Bethlehem, PA 18018 | 2019-06-03 |
| 1780106179 | Courtney Jane Kruscavage | Specialist/Technologist | 641 Dellwood Street, Bethlehem, PA 18018 | 2017-07-07 |
| 1205357936 | Balanced Body Therapeutic Massage, LLC | Massage Therapist | 227 W Broad St Ste 102, Bethlehem, PA 18018 | 2017-07-03 |
| 1033567599 | Jessamine Martin | Counselor | 1 East Broad Street, Suite 510, Bethlehem, PA 18018 | 2016-05-25 |
| 1841650041 | Akhi Saha | Internal Medicine | 325 W Broad St Fl 1, Bethlehem, PA 18018 | 2016-03-01 |
| 1063804193 | Paul Minh Le | Internal Medicine | 800 Eaton Ave Ste B, Bethlehem, PA 18018 | 2015-02-26 |
| 1578962841 | Elizabeth Veronica Weiss Iobst | Counselor | 1754 W. Broad St., Bethlehem, PA 18018 | 2014-08-22 |
| 1255771739 | Inner Resources Counseling Inc | Counselor | 807 West Broad St, Bethlehem, PA 18018 | 2013-06-28 |
| 1437404878 | St Luke Hospital | General Acute Care Hospital | 1956 C Allwood Dr., Bethlehem, PA 18018 | 2012-07-23 |
| 1275802944 | St. Luke's Physician Group, Inc | Ophthalmology | 800 Eaton Avenue, Suite 101, Bethlehem, PA 18018 | 2011-12-23 |
| Find all providers in zip 18018 | ||||
| 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 |
|---|---|---|---|---|
| 1730254780 | Elliot Steven Shear | Dentist | 35 E. Elizabeth Ave., Bethlehem, PA 18018-6505 | 2006-11-22 |
| 1386796373 | James Brian Straka | Dentist | 3005 Brodhead Rd, Suite 184, Bethlehem, PA 18020-9201 | 2007-01-18 |
| 1649361544 | Brian J Miller | Dentist | 65 E Elizabeth Ave, Suite 600, Bethlehem, PA 18018-6518 | 2006-09-27 |
| 1093739807 | Ann Kearney Astolfi | Dentist | 2299 Brodhead Rd, Suite F, Bethlehem, PA 18020-8908 | 2006-07-26 |
| 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.