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CHARLES VIVEK BANDELA
NPI 1568390458
Dental Assistant in Shamokin Dam, PA

Active since May 11, 2026
30 BALDWIN BLVD STE 95, SHAMOKIN DAM, PA 17876(267) 809-2364(570) 256-1772 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Charles Vivek Bandela NPPES

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

CHARLES VIVEK BANDELA (NPI 1568390458) is an individual dental assistant in Shamokin Dam, Pennsylvania and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1568390458
Entity TypeIndividualMale
Primary Taxonomy126800000X
Provider Legal NameCHARLES VIVEK BANDELA
Location Address30 BALDWIN BLVD STE 95Shamokin Dam, PA 17876-9520
Mailing Address30 Baldwin Blvd Ste 95Shamokin Dam, PA 17876-9520 · (267) 809-2364 · Fax (570) 256-1772
Phone(267) 809-2364
Fax(570) 256-1772
Sole ProprietorNo
Enumeration DateMay 11, 2026
NPPES CertifiedMay 11, 2026
✔ NPI 1568390458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental AssistantDental Providers
Taxonomy Code126800000X
Definition
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
30 BALDWIN BLVD STE 95, Shamokin Dam, PA 17876
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Other Providers at the Same Location NPPES 3

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

KEYSTONE ORAL SURGERY ASSOCIATES PC
Dentist (Oral and Maxillofacial Surgery)
30 BALDWIN BLVD STE 95
SHAMOKIN DAM, PA 17876
Snyder County (570) 884-8321
DR. PRANATHI VANGAPALLI REDDY DDS
Dentist (Oral and Maxillofacial Surgery)
30 BALDWIN BLVD STE 95
SHAMOKIN DAM, PA 17876
Snyder County (570) 884-8321
MANOJ KUMAR REDDY GADE
Dental Assistant
30 BALDWIN BLVD STE 95
SHAMOKIN DAM, PA 17876
Snyder County (267) 809-2364

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 Charles Vivek Bandela's NPI number?

The NPI number for Charles Vivek Bandela is 1568390458. It was assigned to this individual provider in the NPPES registry on May 11, 2026.

Where is Charles Vivek Bandela located?

Charles Vivek Bandela practices at 30 Baldwin Blvd Ste 95, Shamokin Dam, PA 17876. The listed phone number is (267) 809-2364.

What is Charles Vivek Bandela's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

When was this NPI record last updated?

The NPPES record for Charles Vivek Bandela was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.