MILL CREEK DENTAL, LLC
NPI 1134560394
Dentist in Pottsville, PA

Q: What is Mill Creek Dental, LLC's NPI number?

The NPI number for Mill Creek Dental, LLC is 1134560394. It was assigned to this organization in the NPPES registry on July 16, 2013.

Q: What is Mill Creek Dental, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since July 16, 2013

497 N CLAUDE A LORD BLVD, POTTSVILLE, PA 17901(570) 516-9109(570) 516-9138 Get Directions Write a Review

NPPES record last updated: July 16, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mill Creek Dental, Llc NPPES

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

MILL CREEK DENTAL, LLC (NPI 1134560394) is a healthcare organization registered as a dentist in Pottsville, Pennsylvania and active in the NPI registry since July 2013. The organization lists David Pelagio, Dentist, as its authorized official.

NPPES Registry Identity

NPI1134560394

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameMILL CREEK DENTAL, LLC

Location Address497 N CLAUDE A LORD BLVDPottsville, PA 17901-2705

Mailing Address497 N Claude A Lord BlvdPottsville, PA 17901-2705 · (570) 516-9109 · Fax (570) 516-9138

Phone(570) 516-9109

Fax(570) 516-9138

Organization SubpartNo

Authorized OfficialDavid PelagioDentist · (570) 516-9109

Enumeration DateJuly 16, 2013

✔ NPI 1134560394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in PA · DS031640L

Definition

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.

497 N CLAUDE A LORD BLVD, Pottsville, PA 17901

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Other Identifiers 1

Medicaid0018499770003PA

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 Mill Creek Dental, LLC's NPI number?

The NPI number for Mill Creek Dental, LLC is 1134560394. It was assigned to this organization in the NPPES registry on July 16, 2013.

Where is Mill Creek Dental, LLC located?

Mill Creek Dental, LLC is located at 497 N Claude A Lord Blvd, Pottsville, PA 17901. The listed phone number is (570) 516-9109.

What is Mill Creek Dental, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Mill Creek Dental, LLC was last updated on July 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.