JACQUELINE TUTHILL


Address: 5125 Zuck Rd, Erie, PA 16506-4941
Phone: 8144552158

JACQUELINE TUTHILL (NPI# 1871911362) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
DS040733 PA Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
Geisinger Medical Ctr, 100 North Academy Avenue, Danville, PA 178220001 5702716211

Office Location

Street Address 5125 ZUCK RD
City ERIE
State PA
Zip Code 16506-4941

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609933654 Kevin David Dunlavey Dentist 5125 Zuck Rd, Erie, PA 16506-4941 2007-01-02

Providers in the same zip code

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
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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
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

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 ERIE
Zip Code 16506

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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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