PEDIATRIC DENTISTRY AT LONGWOOD (NPI# 1750618252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750618252 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTISTRY AT LONGWOOD |
| Practice Address |
400 Mcfarlan Rd Suite 200 Kennett Square PA 19348-2477 |
| Practice Telephone | 6109255700 |
| Mailing Telephone | 6109255700 |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |
| Authorized Official Name | DR. JEFFREY MELINI (PRESIDENT) |
| Authorized Official Telephone | 16103168400 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
PA | Dental Providers |
| Street Address |
400 MCFARLAN RD SUITE 200 |
| City | KENNETT SQUARE |
| State | PA |
| Zip Code | 19348-2477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508808080 | Amanda Gianni | Physical Therapist | 400 Mcfarlan Rd, Kennett Square, PA 19348-2477 | 2006-06-11 |
| 1780120782 | Chester County Orthodontics | Dentist | 400 Mcfarlan Rd, Ste 200, Kennett Square, PA 19348-2477 | 2017-01-13 |
| 1124576004 | Children and Teen Dental Group of Pennsylvania PC | Dentist | 400 Mcfarlan Rd, Ste 200, Kennett Square, PA 19348-2477 | 2016-09-20 |
| 1245630649 | Jonathan Philip Gahman | Physical Therapist | 400 Mcfarlan Rd, Ste 100, Kennett Square, PA 19348-2477 | 2014-09-04 |
| 1144666538 | Kimberly Ann Cichanowsky | Occupational Therapist | 400 Mcfarlan Rd, Kennett Square, PA 19348-2477 | 2013-05-13 |
| 1881995561 | Christopher Slabek | Physical Therapist | 400 Mcfarlan Rd, Kennett Square, PA 19348-2477 | 2010-11-11 |
| 1770802894 | Premier Orthopaedic and Sports Medicine Associates, Ltd | Occupational Therapist | 400 Mcfarlan Rd, Ste 100, Kennett Square, PA 19348-2477 | 2010-05-28 |
| 1508197138 | Diane Weiss | Physical Therapist | 400 Mcfarlan Rd, Kennett Square, PA 19348-2477 | 2010-01-21 |
| 1154486116 | Chester County Eye Care Associates, PC | Optometrist | 400 Mcfarlan Rd, Bldg. 1, Suite 3, Kennett Square, PA 19348-2477 | 2006-12-27 |
| 1871677500 | Kennett Chiropractic Center Pa | Chiropractor | 400 Mcfarlan Rd, Suite 6, Kennett Square, PA 19348-2477 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832866 | Bradley Thomas Steese | Social Worker | Holcomb Behavioral Health Systems, 920 E. Baltimore Pike, Kennett Square, PA 19348 | 2020-08-24 |
| 1316319981 | Marie Daddario | Behavioral Analyst | 920 East Baltimore Pike, Holcomb Behavioral Health Systems, Kennett Square, PA 19348 | 2015-10-22 |
| 1578945291 | Therapeutic Guidance LLC | Social Worker | 500 Orchard Avenue, Kennett Square, PA 19348 | 2015-06-19 |
| 1265838858 | Nicole Zitarelli | Physical Therapist | 400 Mcfarlan Road, Kennett Square, PA 19348 | 2014-11-10 |
| 1013320613 | Andrew Casel | Physical Therapy Assistant | 101 East State Street Grs Hr Welcome Center, Kennett Square, PA 19348 | 2014-06-11 |
| 1821408428 | Katherine Scheponik | Occupational Therapist | 101 E. State St., Genesis Rehab Services, Kennet Square, PA 19348 | 2014-05-05 |
| 1518395359 | Scott James Sinick | Physical Therapist | 161 East State Street, Kennet Square, PA 19348 | 2013-10-14 |
| 1730520982 | Amanda Marie Mclean | Occupational Therapy Assistant | 101 State Street, Kennett Square, PA 19348 | 2013-07-16 |
| 1912254889 | Adrien M Trevisan | Dietitian, Registered | 639 Unionville Road, Kennett Square, PA 19348 | 2012-08-10 |
| 1659638781 | Stephanie N Strickland | Speech-Language Pathologist | 101 E State Street, Kennett Square, PA 19348 | 2012-04-13 |
| Find all providers in zip 19348 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639678907 | Paul Thomas Fortanasce | Dentist | 400 Mcfarlan Rd Ste 200, Kennett Square, PA 19348-2477 | 2018-02-01 |
| 1124576004 | Children and Teen Dental Group of Pennsylvania PC | Dentist | 400 Mcfarlan Rd, Ste 200, Kennett Square, PA 19348-2477 | 2016-09-20 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | KENNETT SQUARE |
| Zip Code | 19348 |
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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.