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DR. CANDICE NICOLE GHAZZOULI DMD
NPI 1245537604
Dentist - General Practice in Montoursville, PA

Active since February 22, 2011Opted out of Medicare · through Jan 21, 2027
1660 SYCAMORE RD, SUITE A, MONTOURSVILLE, PA 17754(570) 323-4819(570) 323-7057 Get Directions Write a Review

NPPES record last updated: February 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Candice Nicole Ghazzouli Dmd NPPES

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

DR. CANDICE NICOLE GHAZZOULI DMD (NPI 1245537604) is an individual general practice provider in Montoursville, Pennsylvania, licensed in Pennsylvania (DS037471) and active in the NPI registry since February 2011. She has opted out of Medicare through January 21, 2027.

NPPES Registry Identity

NPI1245537604
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CANDICE NICOLE GHAZZOULICredential: DMD
Location Address1660 SYCAMORE RD, SUITE AMontoursville, PA 17754-9314
Mailing Address1660 Sycamore Rd, Suite AMontoursville, PA 17754-9314 · (570) 323-4819 · Fax (570) 323-7057
Phone(570) 323-4819
Fax(570) 323-7057
Sole ProprietorNo
Enumeration DateFebruary 22, 2011
✔ NPI 1245537604 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 · DS037471
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.
1660 SYCAMORE RD, Montoursville, PA 17754
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Other Names 1

Former Name (1)Dr. Candice Nicole Carpenter Dmd

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Candice Nicole Ghazzouli Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 21, 2021 through January 21, 2027.

Opt-Out Effective DateJanuary 21, 2021
Opt-Out In Effect ThroughJanuary 21, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

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

SAM STEA
Internal Medicine (Nephrology)
1660 SYCAMORE RD, SUITE C
MONTOURSVILLE, PA 17754
Lycoming County (570) 326-8080
NORTH CENTRAL PENNSYLVANIA DIALYSIS CLINICS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1660 SYCAMORE RD
MONTOURSVILLE, PA 17754
Lycoming County (570) 329-3300
42 NORTH DENTAL CARE LLC
Clinic/Center (Dental)
1660 SYCAMORE RD
MONTOURSVILLE, PA 17754
Lycoming County (570) 323-4819
DR. THOMAS VIA D.D.S.
Dentist (General Practice)
1660 SYCAMORE RD, SUITE A
MONTOURSVILLE, PA 17754
Lycoming County (570) 323-4819
DR. ELIJAH JAEWOOK JUNG D.M.D.
Dentist (General Practice)
1660 SYCAMORE RD, #A
MONTOURSVILLE, PA 17754
Lycoming County (570) 323-4819
DENTAL CARE ASSOCIATES, INC
Dentist (Oral and Maxillofacial Radiology)
1660 SYCAMORE RD
MONTOURSVILLE, PA 17754
Lycoming County (570) 323-4819
MARTHA B. FINN MD NEPHROLOGY PC
Internal Medicine (Nephrology)
1660 SYCAMORE RD, SUITE C
MONTOURSVILLE, PA 17754
Lycoming County (570) 326-0312
DR. DANIEL R GANDY DO
Internal Medicine (Nephrology)
1660 SYCAMORE RD, SUIT C
MONTOURSVILLE, PA 17754
Lycoming County (570) 326-8080

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 Candice Ghazzouli's NPI number?

The NPI number for Candice Ghazzouli is 1245537604. It was assigned to this individual provider in the NPPES registry on February 22, 2011. The provider is also known as Dr. Candice Nicole Carpenter Dmd.

Where is Candice Ghazzouli located?

Candice Ghazzouli practices at 1660 Sycamore Rd Suite A, Montoursville, PA 17754. The listed phone number is (570) 323-4819.

What is Candice Ghazzouli's specialty?

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

Is Candice Ghazzouli enrolled in Medicare?

No. Candice Ghazzouli has opted out of Medicare through January 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Candice Ghazzouli was last updated on February 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.