JACQUELINE TUTHILL (NPI# 1871911362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871911362 |
Entity Type | Individual |
Full Name | JACQUELINE TUTHILL |
Credential | DDS |
Practice Address |
5125 Zuck Rd Erie PA 16506-4941 |
Practice Telephone | 8144552158 |
Mailing Telephone | 8144552158 |
Enumeration Date | 2014-04-01 |
Last Update Date | 2019-04-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DS040733 | PA | Dental Providers |
Address | Telephone Number | Fax Number |
---|---|---|
Geisinger Medical Ctr, 100 North Academy Avenue, Danville, PA 178220001 | 5702716211 |
Street Address |
5125 ZUCK RD |
City | ERIE |
State | PA |
Zip Code | 16506-4941 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609933654 | Kevin David Dunlavey | Dentist | 5125 Zuck Rd, Erie, PA 16506-4941 | 2007-01-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215582838 | Casey Smith | Behavioral Analyst | 4950 W 23rd Street, Suite 1, Erie, PA 16506 | 2019-08-09 |
1962916155 | Joseph Michael Moon | Chiropractor | 2921 W 26th St, Erie, PA 16506 | 2017-11-27 |
1053851550 | Lake Erie Music Therapy LLC | Music Therapist | 5672 Culpepper Dr., Erie, PA 16506 | 2017-03-02 |
1295152700 | Gabrielle Carr | Counselor | 2420 West 23rd St, Erie, PA 16506 | 2014-03-21 |
1407296973 | Carolyn Danner-bliss Pediatric Dietitian Services, LLC | Dietitian, Registered | 5105 Coventry Drive, Erie, PA 16506 | 2013-06-28 |
1962847772 | Philip J Dunn | Internal Medicine | 3615 Woodhaven Dr, Erie, PA 16506 | 2013-05-07 |
1619236684 | Joseph S. Serafini | Hearing Instrument Specialist | 2930 Mckee Rd, Erie, PA 16506 | 2012-05-11 |
1063788313 | Tatiana V Khochay | Registered Nurse | 2801 Burgundy Dr., Erie, PA 16506 | 2012-03-30 |
1699051318 | Krystyna Teresa Wozniak | Licensed Practical Nurse | 3912 East Boardwalk Place, Erie, PA 16506 | 2011-10-26 |
1033436324 | Alexis Jean Mustin | Social Worker | 3210 West 32nd Street, Erie, PA 16506 | 2010-04-26 |
Find all providers in zip 16506 |
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 |
---|---|---|---|---|
1801153101 | Namrata Gupte Hardy | Dentist | 3200 Village Vista Dr, Erie, CO 80516-2521 | 2012-04-12 |
1164658829 | Alison Elaine Grover | Dentist | 570 Gallegos Cir, Erie, CO 80516-2503 | 2009-06-08 |
1952447484 | Gregg Michael Garcia | Dentist | 100 Beach Haven Ln, Erie, PA 16505-2064 | 2007-01-30 |
1174978290 | Hardy Pediatric Dentistry and Orthodontics | Dentist | 3200 Village Vista Dr, Suite B, Erie, CO 80516-2521 | 2016-04-26 |
1679707426 | Drew James Carlin | Dentist | 3219 Peach St, Erie, PA 16508-2735 | 2009-05-07 |
1578544193 | David E Shapter | Dentist | 128 W 12th St, Standard Square, Suite 300, Erie, PA 16501-1725 | 2005-11-10 |
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 |
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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.