TPG DMD, LLC (NPI# 1710585815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710585815 |
| Entity Type | Organization |
| Organization Name | TPG DMD, LLC |
| Practice Address |
Grande Plaza 1103 Rocky Dr Suite 205 West Lawn PA 19609 |
| Mailing Address |
5 Knollwood Dr Reading PA 19608 |
| Practice Telephone | 5703679901 |
| Mailing Telephone | 5703679901 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-18 |
| Authorized Official Name | DR. THOMAS PATRICK GRAHAM (MEMBER) |
| Authorized Official Telephone | 5703679901 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Compassion Endodontics | Doing Business As Name - Organization |
| Street Address |
GRANDE PLAZA 1103 ROCKY DR SUITE 205 |
| City | WEST LAWN |
| State | PA |
| Zip Code | 19609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740775444 | Mihaela Pendos | Nurse Practitioner | 3106 Belmont Ave, Reading, PA 19609 | 2018-06-25 |
| 1811411903 | Jennifer Estes | Physical Therapist | 68 Park Rd, Reading, PA 19609 | 2017-07-31 |
| 1639544489 | Patricia Mary Pyle | Counselor | 2723 Reading Blvd., West Lawn, PA 19609 | 2015-12-04 |
| 1760886303 | Orthopaedic Sports Therapy Institute | Physical Therapist | 65 Grandview Blvd, Wyomissing, PA 19609 | 2014-10-10 |
| 1205269404 | Kahl Counseling | Counselor | 2130 Penn Avenue, 2nd Floor, West Lawn, PA 19609 | 2013-08-12 |
| 1285860148 | Linda Reinhart | Case Manager/Care Coordinator | 2209 Quarry Dr., Suite B-23, Reading, PA 19609 | 2009-06-05 |
| 1033245428 | Larry Edward Fisher | Dentist | 200 Elmwood Ave, Reading, PA 19609 | 2007-02-27 |
| 1437192101 | Leon H Venier | Physical Medicine & Rehabilitation | 2209 Quarry Drive, Suite B 24, West Lawn, PA 19609 | 2006-06-13 |
| 1174512834 | Stacy A Glass | Physical Therapist | 2209 Quarry Drive, Suite C-34, Reading, PA 19609 | 2005-10-17 |
| 1437157336 | James Peter Barrett | Podiatrist | 1719 Penn Avenue, Reading, PA 19609 | 2005-07-13 |
| Find all providers in zip 19609 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306278 | Maria B Mezzanotte Dds LLC | Clinic/Center | 3409 Wilmington Rd, New Castle, PA 16105-3209 | 2020-11-04 |
| 1952901704 | Prime Dental Associates, LLC | Clinic/Center | 101 Old York Rd Ste 401, Jenkintown, PA 19046-3912 | 2020-10-30 |
| 1194324897 | Jignesh Rudani Dmd PC | Clinic/Center | 3400 Bath Pike Ste 200, Bethlehem, PA 18017-2484 | 2020-10-22 |
| 1427665751 | Chandan Dental Associates | Clinic/Center | 3242 S Main Street, Sandy Lake, PA 16145 | 2020-09-30 |
| 1578175733 | Columbia Dental LLC | Clinic/Center | 846 Lancaster Ave, Columbia, PA 17512-2206 | 2020-08-19 |
| 1043820749 | David B. Killian, Dmd, PC | Clinic/Center | 305 S. Hanover Street, Carlisle, PA 17013 | 2020-08-06 |
| 1427667336 | Indiju 4 Dental LLC | Clinic/Center | 4240 Oregeon Pk., Ephrata, PA 17522 | 2020-07-27 |
| 1902415276 | Ragland Orthodontics | Clinic/Center | 800 Edgewood Rd Ste 1, York, PA 17402-4379 | 2020-07-23 |
| 1356950604 | Jamison Innovative Dentistry PC | Clinic/Center | 2370 Old York Rd Ste D1, Jamison, PA 18929-1031 | 2020-07-23 |
| 1841808177 | Opera House Parkesburg Dental, LLC | Clinic/Center | 358 West First Avenue, Parkesburg, PA 19365 | 2020-07-22 |
| 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.