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OAK VALLEY MEDICAL & DENTAL, PC
NPI 1740267558
Family Medicine in Farmington, PA

Active since December 22, 2005CLIA 39D0925139 · Microscopy
103 NEW MEADOW RUN DR, FARMINGTON, PA 15437(724) 329-8689(724) 329-1230 Get Directions Write a Review

NPPES record last updated: October 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oak Valley Medical & Dental, Pc NPPES

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

OAK VALLEY MEDICAL & DENTAL, PC (NPI 1740267558) is a healthcare organization registered as a family medicine in Farmington, Pennsylvania and active in the NPI registry since December 2005. The organization holds a CLIA Microscopy certificate valid through October 29, 2027 and lists Verona M Boller, President, as its authorized official.

NPPES Registry Identity

NPI1740267558
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOAK VALLEY MEDICAL & DENTAL, PC
Location Address103 NEW MEADOW RUN DRFarmington, PA 15437-1391
Mailing Address103 New Meadow Run DrFarmington, PA 15437-1391 · (724) 329-8573 · Fax (724) 329-1230
Phone(724) 329-8689
Fax(724) 329-1230
Organization SubpartNo
Authorized OfficialVerona M BollerPresident · (724) 329-8573
Enumeration DateDecember 22, 2005
Last NPPES UpdateOctober 7, 2019
✔ NPI 1740267558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
103 NEW MEADOW RUN DR, Farmington, PA 15437
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Other Identifiers 3

Other39D0925139Clia Federal
Medicaid102283015-0002PA
Other024882PA · Clia State

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 39D0925139

Oak Valley Medical & Dental PC · Farmington, PA
Active · expires Oct 29, 2027
CLIA Number39D0925139
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 30, 2025
Certificate Expiration DateOctober 29, 2027
Laboratory DirectorDr. Verona M. Boller
Laboratory Phone(724) 329-8689
Laboratory LocationOak Valley Medical & Dental PC103 New Meadow Run Dr, Farmington, PA 15437
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

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

ERIN MICHAL MAENDEL LPN
Licensed Practical Nurse
103 NEW MEADOW RUN DR
FARMINGTON, PA 15437
Fayette County (724) 329-8689
OAK VALLEY MEDICAL & DENTAL, PC
Dentist (General Practice)
103 NEW MEADOW RUN DR
FARMINGTON, PA 15437
Fayette County (724) 749-1517
MARYA MOMMSEN RDH
Dental Hygienist
103 NEW MEADOW RUN DR
FARMINGTON, PA 15437
Fayette County (724) 749-1517
ANNELI K BOLLER DDS
Dentist (General Practice)
103 NEW MEADOW RUN DR
FARMINGTON, PA 15437
Fayette County (845) 481-7014
ESTHER L. BOLLER
Student in an Organized Health Care Education/Training Program
103 NEW MEADOW RUN DR
FARMINGTON, PA 15437
Fayette County (724) 329-8689

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 Oak Valley Medical & Dental, PC's NPI number?

The NPI number for Oak Valley Medical & Dental, PC is 1740267558. It was assigned to this organization in the NPPES registry on December 22, 2005.

Where is Oak Valley Medical & Dental, PC located?

Oak Valley Medical & Dental, PC is located at 103 New Meadow Run Dr, Farmington, PA 15437. The listed phone number is (724) 329-8689.

What is Oak Valley Medical & Dental, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Oak Valley Medical & Dental, PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 39D0925139) is associated with this NPI, valid through October 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Oak Valley Medical & Dental, PC was last updated on October 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.