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COSMETIC DENTISTRY INC
NPI 1043626450
Dentist - General Practice in State College, PA

Active since July 07, 2014
110 RADNOR RD, SUITE 200, STATE COLLEGE, PA 16801(814) 238-2020 Get Directions Write a Review

NPPES record last updated: July 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cosmetic Dentistry Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COSMETIC DENTISTRY INC (NPI 1043626450) is a healthcare organization registered as a general practice in State College, Pennsylvania and active in the NPI registry since July 2014. The organization lists Robert Leon Jeanmenne, Owner, President, as its authorized official.

NPPES Registry Identity

NPI1043626450
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOSMETIC DENTISTRY INC
Location Address110 RADNOR RD, SUITE 200State College, PA 16801-7987
Mailing Address110 Radnor Rd, Suite 200State College, PA 16801-7987 · (814) 238-2020
Phone(814) 238-2020
Organization SubpartNo
Authorized OfficialRobert Leon JeanmenneOwner, President · (814) 238-2020
Enumeration DateJuly 7, 2014
✔ NPI 1043626450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS035349
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
110 RADNOR RD, State College, PA 16801
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARRY R. BRINK PH.D.
Psychologist (Clinical Child & Adolescent)
110 RADNOR RD, SUITE 101
STATE COLLEGE, PA 16801
Centre County (814) 867-0670
EVELYN K. BARTSCH LCSW
Social Worker (Clinical)
110 RADNOR RD, SUITE 101
STATE COLLEGE, PA 16801
Centre County (814) 867-0670
DR. JOHN F ROBISON D.M.D.
Dentist (General Practice)
110 RADNOR RD, SUITE 201
STATE COLLEGE, PA 16801
Centre County (814) 237-2291
DR. MELISSA MCCREARY DEINES PH.D.
Psychologist (Clinical)
110 RADNOR RD, SUITE 101
STATE COLLEGE, PA 16801
Centre County (814) 867-0670

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cosmetic Dentistry Inc's NPI number?

The NPI number for Cosmetic Dentistry Inc is 1043626450. It was assigned to this organization in the NPPES registry on July 7, 2014.

Where is Cosmetic Dentistry Inc located?

Cosmetic Dentistry Inc is located at 110 Radnor Rd Suite 200, State College, PA 16801. The listed phone number is (814) 238-2020.

What is Cosmetic Dentistry Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Cosmetic Dentistry Inc was last updated on July 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.