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CDA LAKE WINOLA LLC
NPI 1104491653
Dentist - General Practice in Factoryville, PA

Active since May 26, 2021
1220 PA-307, FACTORYVILLE, PA 18419(570) 378-3305(570) 378-3430 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cda Lake Winola Llc NPPES

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

CDA LAKE WINOLA LLC (NPI 1104491653), doing business as Century Dental Lake Winola, is a healthcare organization registered as a general practice in Factoryville, Pennsylvania and active in the NPI registry since May 2021. The organization lists Jason J Hanyon, Owner, as its authorized official.

NPPES Registry Identity

NPI1104491653
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCDA LAKE WINOLA LLC
Location Address1220 PA-307Factoryville, PA 18419
Mailing Address1220 Pa-307Factoryville, PA 18419 · (570) 378-3305 · Fax (570) 378-3430
Phone(570) 378-3305
Fax(570) 378-3430
Organization SubpartYes
Authorized OfficialJason J HanyonOwner · (570) 378-3305
Enumeration DateMay 26, 2021
NPPES CertifiedMay 13, 2021
✔ NPI 1104491653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1220 PA-307, Factoryville, PA 18419
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Other Names 1

Doing Business AsCentury Dental Lake Winola

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 SINGLE SPECIALTY GROUP

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 Cda Lake Winola LLC's NPI number?

The NPI number for Cda Lake Winola LLC is 1104491653. It was assigned to this organization in the NPPES registry on May 26, 2021. The provider is doing business as Century Dental Lake Winola.

Where is Cda Lake Winola LLC located?

Cda Lake Winola LLC is located at 1220 Pa-307, Factoryville, PA 18419. The listed phone number is (570) 378-3305.

What is Cda Lake Winola LLC'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 Cda Lake Winola LLC was last updated on May 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.