DR. JEFFREY ALLEN BELLISARIO (NPI# 1881773836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881773836 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY ALLEN BELLISARIO |
| Credential | DDS |
| Practice Address |
636 Wynnewood Rd Ardmore PA 19003-2626 |
| Mailing Address |
811 Avonwood Drive Wayne PA 19087 |
| Practice Telephone | 6106427024 |
| Practice Fax Number | 6106420658 |
| Mailing Telephone | 6106874945 |
| Mailing Fax Number | 6109710622 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS021544L | PA | Dental Providers |
| Street Address |
636 WYNNEWOOD RD |
| City | ARDMORE |
| State | PA |
| Zip Code | 19003-2626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952872228 | Ccd Ardmore Family Dentistry, LLC | Dentist | 636 Wynnewood Rd, Ardmore, PA 19003-2626 | 2018-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396231973 | Ann's Professional Home Care, LLC. | Home Health | 119 Coulter Ave Ste 210, Ardmore, PA 19003 | 2018-07-06 |
| 1154864247 | Renee Suzanne Downey | Counselor | 63 W. Lancaster Ave., Suite 2, Ardmore, PA 19003 | 2016-11-22 |
| 1972908739 | Teleradiology Solutions PC | Clinic/Center | 22 Lianfair Road, Unit 6, Ardmore, PA 19003 | 2014-10-23 |
| 1194120832 | Lindsay Coffman | Nurse Practitioner | 610 West Lancaster Avenue, Ardmore, PA 19003 | 2014-10-23 |
| 1306247143 | Samantha Hunsicker | Social Worker | 9 Cricket Terrace Ctr, Ardmore, PA 19003 | 2014-09-11 |
| 1730514050 | Ultimate Hearing Solutions | Audiologist-Hearing Aid Fitter | 14 Greenfield Avenue, Ardmore, PA 19003 | 2013-09-05 |
| 1861831455 | See Inc | Optometrist | 39 Coulter, Ardmore, PA 19003 | 2013-06-18 |
| 1265740518 | Nicole Quigley Finnegan | Occupational Therapist | 120 Saint Pauls Rd, Ardmore, PA 19003 | 2010-09-21 |
| 1588989719 | Paul Maury Prusky | Family Medicine | 25 East Athens Ave, Ardmore, PA 19003 | 2010-03-31 |
| 1790017333 | Dongxiao Liu | Acupuncturist | 2 W. Lancaster Ave, Ardmore, PA 19003 | 2010-02-08 |
| Find all providers in zip 19003 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154851392 | Joseph Solomon Treanor | Dentist | 1610 Walnut Dr, Ardmore, OK 73401-2331 | 2017-06-19 |
| 1427406370 | Manali Deshpande | Dentist | 2704 Saint Marys Road, Ardmore, PA 19003-2004 | 2016-06-01 |
| 1144667643 | Joshua Kuykendall | Dentist | 2401 12th Ave Nw, Ardmore, OK 73401-1470 | 2013-05-24 |
| 1699941559 | Barton Timothy Barrett | Dentist | 27001 Main St, Ardmore, TN 38449-3183 | 2008-05-01 |
| 1427251925 | John C Pagana | Dentist | 213 Greenfield Ave, Ardmore, PA 19003-1205 | 2007-06-11 |
| 1326256843 | Jesse D Storts, Jr. | Dentist | 615 N Commerce St, Ardmore, OK 73401-3942 | 2007-05-18 |
| 1639202468 | Albert C Caywood Dds Inc | Dentist | 1015 15th Ave Nw, Ardmore, OK 73401-1810 | 2007-03-13 |
| 1093871659 | Francis Manuel Montemayor | Dentist | 115 M St Sw, Ardmore, OK 73401-3102 | 2006-12-28 |
| 1447328349 | Pediatric Dental Associates PC | Dentist | 1103 Walnut Drive, Pediatric Dental Associates PC, Ardmore, OK 73401 | 2006-12-01 |
| 1780778951 | Storts and Sudberry Pllc | Dentist | 615 N Commerce, Ardmore, OK 73401 | 2006-10-03 |
| Find all providers in ARDMORE | ||||
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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.