DR. KATHLEEN KOPECKY-GROH (NPI# 1740517804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740517804 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN KOPECKY-GROH |
| Credential | DMD |
| Practice Address |
428 Cumberland St Lebanon PA 17042-5314 |
| Practice Telephone | 7172742820 |
| Mailing Telephone | 7172742820 |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2009-11-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS 024851L | PA | Dental Providers |
| Street Address |
428 CUMBERLAND ST |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-5314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414436 | University Smiles LLC | Dentist | 229 W Saint Louis St # Sr, Lebanon, IL 62254-1515 | 2020-07-21 |
| 1962020693 | Rachel Hancock | Dentist | 367 Nh 120, Lebanon, NH 03766-1430 | 2020-07-09 |
| 1386295434 | Zarna Patel | Dentist | 1451 Quentin Rd Ste 300, Lebanon, PA 17042-7562 | 2019-09-20 |
| 1932639044 | Carson James Stroyan | Dentist | 11 Eldridge St Ste 300, Lebanon, NH 03766-1022 | 2017-06-13 |
| 1083142483 | Horton Scott Li | Dentist | 604 S Cumberland St Ste 200, Lebanon, TN 37087-4794 | 2017-05-30 |
| 1548712151 | Patel Dental Group of Upper Valley | Dentist | 11 Eldridge St, Suite #300, Lebanon, NH 03766-1022 | 2016-10-30 |
| 1235584913 | Temicka Terrell | Dentist | 1037 W Main St Ste E, Lebanon, TN 37087-3356 | 2016-04-29 |
| 1215340880 | Eriks Dental, PC | Dentist | 1338 S Lebanon St Ste 100, Lebanon, IN 46052-2792 | 2014-06-11 |
| 1497043178 | Jacob Eldon Frazier | Dentist | 110 Wakanda Dr, Lebanon, IL 62254-1393 | 2011-07-15 |
| 1740592633 | John David Hirce | Dentist | 367 Route 120 Unit D, Lebanon, NH 03766-1430 | 2010-07-08 |
| Find all providers in LEBANON | ||||
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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.