CENTERVILLE CLINICS INS DENTAL - NPI 1194757559

Q: What is Centerville Clinics Ins Dental's NPI number?

The NPI number for Centerville Clinics Ins Dental is 1194757559. It was assigned to this organization in the NPPES registry on July 7, 2006.

Q: What is Centerville Clinics Ins Dental's specialty?

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

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About Centerville Clinics Ins Dental NPPES

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

CENTERVILLE CLINICS INS DENTAL (NPI 1194757559) is a healthcare organization registered as a dentist in Fredericktown, Pennsylvania and active in the NPI registry since July 2006. The organization lists Patricia Martos, Director Finance/personnel, as its authorized official.

NPPES Registry Identity

NPI1194757559

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameCENTERVILLE CLINICS INS DENTAL

Location Address1070 OLD NATIONAL PIKEFredericktown, PA 15333-2114

Mailing Address1070 Old National PikeFredericktown, PA 15333-2114 · (724) 632-1680

Phone(724) 632-1680

Organization SubpartNo

Authorized OfficialPatricia MartosDirector Finance/personnel · (724) 632-6801

Enumeration DateJuly 7, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1194757559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

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.

1070 OLD NATIONAL PIKE, Fredericktown, PA 15333

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Other Identifiers 2

Medicaid1007288440027PA

Other164629PA · Highmark

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

Other Providers at the Same Location NPPES 20

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

ALEXANDRIA MARIE BAKOS CRNP

Nurse Practitioner