SDK PROFESSIONAL SERVICES, LLC


Address: 250 Fame Ave, Suite 206, Hanover, PA 17331-1587
Phone: 7175785839

SDK PROFESSIONAL SERVICES, LLC (NPI# 1679967137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679967137
Entity Type Organization
Organization Name SDK PROFESSIONAL SERVICES, LLC
Other Organization Name SEDATION & SLEEP DENTISTRY FOR KIDS
Practice Address 250 Fame Ave
Suite 206
Hanover
PA 17331-1587
Mailing Address Po Box 7347
York
PA 17404-0347
Practice Telephone 7175785839
Practice Fax Number 7173261305
Mailing Telephone 7175785839
Mailing Fax Number 7173261305
Enumeration Date 2015-03-23
Last Update Date 2015-03-23
Authorized Official Name DR. LINDA S BLANN (OWNER)
Authorized Official Telephone 7175785839
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
DS028116L PA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA 1395776004 05

Other Provider/Organization Names

Other Name Type Code
Sedation & Sleep Dentistry for Kids Doing Business As Name - Organization

Office Location

Street Address 250 FAME AVE
SUITE 206
City HANOVER
State PA
Zip Code 17331-1587

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619971199 Ability Prosthetics & Orthotics, LLC Prosthetic/Orthotic Supplier 250 Fame Ave, Suite 104, Entrance C, Hanover, PA 17331 2005-06-13
1962942391 Sarah Lynn Zimmerman Specialist/Technologist 250 Fame Ave, Suite 100, Hanover, PA 17331-1587 2017-03-04
1487106720 Vladimir Ioffe Md, LLC Radiology 250 Fame Ave, Hanover, PA 17331-1587 2016-11-03
1336505619 Sedation Dentistry Today, LLC Dentist 250 Fame Ave, Suite 206, Hanover, PA 17331-1587 2016-01-03
1790152205 Tarik Jbarah Dmd LLC Clinic/Center 250 Fame Ave, Suite #206, Hanover, PA 17331-1587 2015-09-01
1144697376 Sarah A. Banks, Dpm Podiatrist 250 Fame Ave, Suite 220, Hanover, PA 17331-1587 2015-08-24
1558738799 Michael J Paris, Dpm Podiatrist 250 Fame Ave, Suite 220, Hanover, PA 17331-1587 2015-08-24
1043603640 Hanger Prosthetics & Orthotics, Inc Prosthetic/Orthotic Supplier 250 Fame Ave, Suite 105, Hanover, PA 17331-1587 2015-03-06
1598108367 Oss Orthopaedic Hospital, LLC Durable Medical Equipment & Medical Supplies 250 Fame Ave, Suite 204, Hanover, PA 17331-1587 2013-04-11
1508133026 Orthopaedic & Spine Specialists Orthopaedic Surgery 250 Fame Ave, Suite 204, Hanover, PA 17331-1587 2011-11-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356977649 Pinnacle Health Medical Services Clinic/Center 2201 Brunswick Drive, Suite 1100, Hanover, PA 17331 2020-03-18
1508421058 National Vision Inc Optometrist 477 Eisenhower Drive, Hanover, PA 17331 2019-05-09
1225599830 Tawney Nicole Angeloff Registered Nurse 1227 Baltimore Street, Hanover, PA 17331 2019-03-27
1851865000 Hanh Pham-nguyen Pharmacist 260 Wilson Ave, Hanover, PA 17331 2019-01-21
1194251876 Sam's East, Inc. Technician/Technologist 261 Wilson Ave, Hanover, PA 17331 2017-05-02
1346697794 Pinnacle Treatment Centers Pa-vii, LLC Clinic/Center 120 Penn Street, Hanover, PA 17331 2016-05-16
1073914073 Luana Robinson Counselor 36 Wappler Drive, Hanover, PA 17331 2014-09-09
1225467350 Jennifer Marie Sherde Specialist/Technologist 250 Fame Avenue, Suite 100, Medical Fitness Center-hanover Hospital, Hanover, PA 17331 2013-11-08
1194078089 Robyn Michelle Hess Physician Assistant 100 Eisenhower Dr, Hanover, PA 17331 2012-10-17
1134408453 Heather L Hillson Pharmacist 31 Wilson Ave., T2567, Hanover, PA 17331 2011-08-04
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902313570 Hanover Pediatric Dentistry, Pllc Dentist 648 Washington St, Hanover, MA 02339-2386 2018-01-04
1891043006 Cpdg-am Dentist 7556 Teague Rd, Suite 110, Hanover, MD 21076-1213 2012-08-17
1497715510 Linda S Blann Dentist 250 Fame Ave, Suite 206, Hanover, PA 17331-1587 2006-03-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598309106 Sea of Smiles 4 LLC Dentist 361 Highland Ave Ste 203, Jenkintown, PA 19046-2632 2019-11-06
1538701594 John Capparell & Connie Mallozzi Dentist 20 N Laurel St # 2-c, Hazleton, PA 18201-5948 2019-10-11
1215584503 Bright Smiles Kids Dentistry Dentist 410 W Lancaster Ave Ste 106, Devon, PA 19333-1588 2019-08-21
1841846458 Bensalem, Smiles Inc Dentist 2548 Street Rd, Bensalem, PA 19020-2644 2019-08-11
1154976991 Advanced Pediatric Dentistry LLC Dentist 220 Cumberland Pkwy Ste 6&7, Mechanicsburg, PA 17055-5683 2019-08-08
1205495512 Lanz Pediatric Dentistry, LLC Dentist 3402 Washington Rd Ste 205, Mc Murray, PA 15317-2964 2019-06-10
1982267084 Farm Park Pediatric Dentistry Dentist 502 W Germantown Pike Ste 100, East Norriton, PA 19403-4232 2019-04-15
1053878892 Alexis Gilliam Dentist 2820 Whiteford Rd, York, PA 17402-7620 2019-02-28
1346705050 Happy Teeth Proffesionals, LLC Dentist 165 Levittown Pkwy Ste B, Levittown, PA 19055-2464 2019-02-06
1902373111 Cavity Busters Doylestown LLC Dentist 708 N Shady Retreat Rd Ste 2, Doylestown, PA 18901-2503 2018-10-25
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Competitor

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City HANOVER
Zip Code 17331

Improve Information

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Dataset Information

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.

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