WCP CLEMENZA, LLC (NPI# 1639299548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639299548 |
| Entity Type | Organization |
| Organization Name | WCP CLEMENZA, LLC |
| Practice Address |
3041 Innovation Way Hermitage PA 16148-7905 |
| Practice Telephone | 7249818884 |
| Practice Fax Number | 7249817799 |
| Mailing Telephone | 7249818884 |
| Mailing Fax Number | 7249817799 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VASSIE CLEMENZA (MEMBER) |
| Authorized Official Telephone | 7249818884 |
| Authorized Official Credential | ESQ. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
3041 INNOVATION WAY |
| City | HERMITAGE |
| State | PA |
| Zip Code | 16148-7905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699723494 | John W. Clemenza, Dmd, Md Oral and Facial Surgical Center, LLC | Dentist | 3041 Innovation Way, Hermitage, PA 16148 | 2006-05-04 |
| 1033396999 | John W. Clemenza | Dentist | 3041 Innovation Way, Hermitage, PA 16148-7905 | 2008-01-23 |
| 1447449590 | G & P Anesthesia LLC | Nurse Anesthetist, Certified Registered | 3041 Innovation Way, Hermitage, PA 16148-7905 | 2007-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571165 | Cassandra L Holder | Physical Therapist | 1559 N. Hermitage Rd, Hermitage, PA 16148 | 2020-09-01 |
| 1750927190 | Hermitage Endoscopy Center Inc | Clinic/Center | 949 N Hermitage Road, Hermitage, PA 16148 | 2019-11-20 |
| 1336791318 | Catlyn Marie Joseph | Pharmacist | 1851 East State St, Rite Aid Store #10995, Hermitage, PA 16148 | 2019-07-10 |
| 1386203107 | Kaitlyn Mostard-smith | Physical Therapist | 1599 N. Hermitage Rd., Hermitage, PA 16148 | 2019-06-06 |
| 1770001513 | Lee Ann Hougelman | Licensed Practical Nurse | 5454 E. State St., Hermitage, PA 16148 | 2017-08-31 |
| 1194245001 | Samantha C Kilar | Audiologist | 1623 Dutch Lane, Hermitage, PA 16148 | 2017-06-21 |
| 1538419197 | Sharon Lynn Taylor | Physician Assistant | 480 N Kerrwood Dr Ste 103, Hermitage, PA 16148 | 2012-09-11 |
| 1912289638 | Amanda Jo Kline | Physical Therapy Assistant | 260 S Buhl Farm Drive, Whispering Oaks Suite 326, Hermitage, PA 16148 | 2011-09-20 |
| 1447548573 | Robert Joseph Jackson | Licensed Practical Nurse | 5454 East State St, Hermitage, PA 16148 | 2011-07-11 |
| 1386974673 | Susan Dawn Mehallick | Specialist/Technologist | 1005 Campus Circle, Hermitage, PA 16148 | 2010-01-08 |
| Find all providers in zip 16148 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003088980 | Donelson Oral Surgery | Dentist | 5651 Frist Blvd Ste 300, Hermitage, TN 37076-2057 | 2008-03-31 |
| 1699723494 | John W. Clemenza, Dmd, Md Oral and Facial Surgical Center, LLC | Dentist | 3041 Innovation Way, Hermitage, PA 16148 | 2006-05-04 |
| 1033396999 | John W. Clemenza | Dentist | 3041 Innovation Way, Hermitage, PA 16148-7905 | 2008-01-23 |
| 1306910096 | Terry Duncan Sawyer | Dentist | 5651 Frist Blvd, Suite 301, Hermitage, TN 37076-2054 | 2006-11-17 |
| 1841283926 | Donald E. Cox | Dentist | 5651 Frist Blvd, Suite 300, Hermitage, TN 37076-2054 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074037 | Kingsbury Oral and Maxillofacial Surgery, PC | Dentist | 1 Presidential Blvd Ste 207, Bala Cynwyd, PA 19004-1007 | 2020-08-17 |
| 1679183990 | Always Precision Dental PC | Dentist | 1023 King Way, Breinigsville, PA 18031-1482 | 2020-08-02 |
| 1447874490 | Peace Dental Associates | Dentist | 35 S 2nd Ave, Clarion, PA 16214-1934 | 2020-06-05 |
| 1528689270 | New Hope Oral Surgery and Implant Center | Dentist | 6660 Old York Rd, New Hope, PA 18938 | 2020-05-05 |
| 1942831904 | Eagles Oral Surgery | Dentist | 525 W Main St Ste 11, Trappe, PA 19426-1923 | 2020-01-29 |
| 1104466028 | Keystone Oral and Maxillofacial Surgery, P.C. | Dentist | 560 Rugh St Ste 100, Greensburg, PA 15601-5601 | 2020-01-08 |
| 1245889740 | Oral & Facial Surgery of Pittsburgh, P.C. | Dentist | 180 Swinderman Rd Ste 260, Wexford, PA 15090-5620 | 2019-09-06 |
| 1528626124 | Christopher Yi | Dentist | 900 Walnut St Rm 300, Philadelphia, PA 19107-5191 | 2019-05-30 |
| 1275091886 | Gary M Carmassi Dmd | Dentist | 8650 Babcock Blvd Ste 3, Pittsburgh, PA 15237-5009 | 2019-03-04 |
| 1073093233 | Ban Oral and Facial Surgical Associates LLC | Dentist | 4725 Mcknight Rd Ste 209, Pittsburgh, PA 15237-3414 | 2018-08-17 |
| 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.