DR. FELICITAS I WIBOWO (NPI# 1992972095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992972095 |
| Entity Type | Individual |
| Full Name | DR. FELICITAS I WIBOWO |
| Credential | D.M.D. |
| Practice Address |
138 Broadway Hanover PA 17331-2500 |
| Practice Telephone | 7176323571 |
| Practice Fax Number | 7176326466 |
| Mailing Telephone | 7176323571 |
| Mailing Fax Number | 7176326466 |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2011-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DS037130 | PA | Dental Providers |
| Street Address |
138 BROADWAY |
| City | HANOVER |
| State | PA |
| Zip Code | 17331-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003012519 | Jon Eugene Hart I | Dentist | 138 Broadway, Hanover, PA 17331-2500 | 2007-06-22 |
| 1942854591 | Scott Bowersox | Dentist | 138 Broadway, Hanover, PA 17331-2500 | 2019-07-31 |
| 1770966806 | Tarik Jbarah | Clinic/Center | 138 Broadway, Hanover, PA 17331-2500 | 2015-07-07 |
| 1457533242 | John William Greene | Dentist | 138 Broadway, Hanover, PA 17331-2500 | 2007-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356977649 | Pinnacle Health Medical Services | Clinic/Center | 2201 Brunswick Drive, Suite 1100, Hanover, PA 17331 | 2020-03-18 |
| 1508421058 | National Vision Inc | Optometrist | 477 Eisenhower Drive, Hanover, PA 17331 | 2019-05-09 |
| 1225599830 | Tawney Nicole Angeloff | Registered Nurse | 1227 Baltimore Street, Hanover, PA 17331 | 2019-03-27 |
| 1851865000 | Hanh Pham-nguyen | Pharmacist | 260 Wilson Ave, Hanover, PA 17331 | 2019-01-21 |
| 1194251876 | Sam's East, Inc. | Technician/Technologist | 261 Wilson Ave, Hanover, PA 17331 | 2017-05-02 |
| 1346697794 | Pinnacle Treatment Centers Pa-vii, LLC | Clinic/Center | 120 Penn Street, Hanover, PA 17331 | 2016-05-16 |
| 1073914073 | Luana Robinson | Counselor | 36 Wappler Drive, Hanover, PA 17331 | 2014-09-09 |
| 1225467350 | Jennifer Marie Sherde | Specialist/Technologist | 250 Fame Avenue, Suite 100, Medical Fitness Center-hanover Hospital, Hanover, PA 17331 | 2013-11-08 |
| 1194078089 | Robyn Michelle Hess | Physician Assistant | 100 Eisenhower Dr, Hanover, PA 17331 | 2012-10-17 |
| 1134408453 | Heather L Hillson | Pharmacist | 31 Wilson Ave., T2567, Hanover, PA 17331 | 2011-08-04 |
| Find all providers in zip 17331 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225388846 | Patel Qi & Bhangra Dental | Dentist | 7556 Teague Rd Ste 104, Hanover, MD 21076-1969 | 2012-09-11 |
| 1053450619 | William Andrew Adams | Dentist | 104 Carlisle St, Suite 2, Hanover, PA 17331-2406 | 2007-02-06 |
| 1720152929 | Holly Tree Dental | Dentist | 171 Rockland Street, Hanover, MA 02339 | 2006-11-20 |
| 1043620701 | Yaakov R Barak | Dentist | 201 Allegheny Ave, Hanover, PA 17331-1866 | 2014-05-04 |
| 1043560451 | Hanover Endodontics LLC | Dentist | 51 Mill St, Unite #4, Hanover, MA 02339-1641 | 2012-09-12 |
| 1245456177 | Drs Miller Solowsky & Associates PC | Dentist | 1775 Washington Street, Hanover Mall, Hanover, MA 02339 | 2007-04-18 |
| 1669698585 | Duc Huu Truong | Dentist | 1775 Washington St, Unident Dental Center, Hanover, MA 02339 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659982817 | Hallie Rose Landy | Dentist | 2101 Chestnut St Unit 1426, Philadelphia, PA 19103-3138 | 2020-08-12 |
| 1720696123 | Jmk Endodontics LLC | Dentist | 2 Meridian Blvd Ste 216, Wyomissing, PA 19610-3202 | 2020-07-21 |
| 1770105009 | Nhan James Huu Ngo | Dentist | 215 Upland Sq Dr, Pottstown, PA 19464-9427 | 2020-05-08 |
| 1528627130 | Butler Endodontics | Dentist | 1140 N Main Street Ext, Butler, PA 16001-1957 | 2019-06-07 |
| 1518525138 | Melanie Elizabeth Wallace Martel | Dentist | 600 W Dekalb Pike Ste 301, King of Prussia, PA 19406-3060 | 2019-05-29 |
| 1235794215 | Chester County Endodontics, PC | Dentist | 404 Mcfarlan Rd Ste 302, Kennett Square, PA 19348-2479 | 2019-05-06 |
| 1487147039 | Three Rivers Endodontics East LLC | Dentist | 5770 Baum Blvd Ste 150, Pittsburgh, PA 15206-3763 | 2018-06-08 |
| 1558868182 | Downtown Endodontics, LLC | Dentist | 125 Sixth Street, Suite A, Pittsburgh, PA 15222 | 2018-04-10 |
| 1245747583 | Jk Endodontics | Dentist | 555 Second Ave Ste G-108, Collegeville, PA 19426-3600 | 2018-01-09 |
| 1194173377 | David Shin | Dentist | 3945 Chestnut St Apt 405, Philadelphia, PA 19104-3626 | 2016-05-29 |
| 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.