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BOULEVARD DENTAL ASSOCIATES
NPI 1659509404
Dentist - General Practice in Reading, PA

Active since June 30, 2009
430 KENHORST BLVD, READING, PA 19611(610) 775-0321(610) 777-8884 Get Directions Write a Review

NPPES record last updated: July 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Boulevard Dental Associates NPPES

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

BOULEVARD DENTAL ASSOCIATES (NPI 1659509404) is a healthcare organization registered as a general practice in Reading, Pennsylvania and active in the NPI registry since June 2009. The organization lists Timothy Medianick, Owner, as its authorized official.

NPPES Registry Identity

NPI1659509404
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBOULEVARD DENTAL ASSOCIATES
Location Address430 KENHORST BLVDReading, PA 19611-1830
Mailing Address430 Kenhorst BlvdReading, PA 19611-1830 · (610) 775-0321 · Fax (610) 777-8884
Phone(610) 775-0321
Fax(610) 777-8884
Organization SubpartNo
Authorized OfficialTimothy MedianickOwner · (610) 775-0321
Enumeration DateJune 30, 2009
Last NPPES UpdateJuly 27, 2009
✔ NPI 1659509404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in PA · DS036510✔ Licensed in PA · DN017638
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.
430 KENHORST BLVD, Reading, PA 19611
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. CHRISTOPHER J KOSENSKE DENTIST
Dentist
430 KENHORST BLVD
READING, PA 19611
Berks County (610) 775-5714
DR. TIMOTHY MEDIANICK D.M.D.
Dentist
430 KENHORST BLVD
READING, PA 19611
Berks County (610) 775-0321

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 Boulevard Dental Associates's NPI number?

The NPI number for Boulevard Dental Associates is 1659509404. It was assigned to this organization in the NPPES registry on June 30, 2009.

Where is Boulevard Dental Associates located?

Boulevard Dental Associates is located at 430 Kenhorst Blvd, Reading, PA 19611. The listed phone number is (610) 775-0321.

What is Boulevard Dental Associates'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 Boulevard Dental Associates was last updated on July 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.