QUADE LUNDBERG DMD
NPI 1053200527
Dentist - General Practice in Brockway, PA

Active since June 30, 2025
409 MAIN ST, BROCKWAY, PA 15824(814) 268-6614 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Quade Lundberg Dmd NPPES

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

QUADE LUNDBERG DMD (NPI 1053200527) is an individual general practice provider in Brockway, Pennsylvania, licensed in Pennsylvania (DS045233) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1053200527
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameQUADE LUNDBERGCredential: DMD
Location Address409 MAIN STBrockway, PA 15824-1324
Mailing Address3890 Route 219Brockport, PA 15823-3810
Sole ProprietorNo
Enumeration DateJune 30, 2025
NPPES CertifiedJune 30, 2025
NPI 1053200527 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 · DS045233
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.
409 MAIN ST, Brockway, PA 15824

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Dentist
409 MAIN ST
BROCKWAY, PA 15824
Dentist (General Practice)
409 MAIN ST
BROCKWAY, PA 15824

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 Quade Lundberg's NPI number?

The NPI number for Quade Lundberg is 1053200527. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Where is Quade Lundberg located?

Quade Lundberg practices at 409 Main St, Brockway, PA 15824. The listed phone number is (814) 268-6614.

What is Quade Lundberg's specialty?

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

What insurance does Quade Lundberg accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life list Quade Lundberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Quade Lundberg was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.