QUINN L. LUNDBERG, JR., DMD
NPI 1801472964
Dentist - General Practice in Brockway, PA

Active since March 19, 2021
409 MAIN ST, BROCKWAY, PA 15824(814) 268-6614(814) 265-0087 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Quinn L. Lundberg, Jr., Dmd NPPES

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

QUINN L. LUNDBERG, JR., DMD (NPI 1801472964) is a healthcare organization registered as a general practice in Brockway, Pennsylvania and active in the NPI registry since March 2021. The organization lists Quinn L Lundberg, Owner, as its authorized official.

NPPES Registry Identity

NPI1801472964
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameQUINN L. LUNDBERG, JR., DMD
Location Address409 MAIN STBrockway, PA 15824-1324
Mailing Address409 Main StBrockway, PA 15824-1324 · (814) 268-6614 · Fax (814) 265-0087
Fax(814) 265-0087
Organization SubpartNo
Authorized OfficialQuinn L LundbergOwner · (814) 268-6614
Enumeration DateMarch 19, 2021
NPPES CertifiedMarch 19, 2021
NPI 1801472964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
409 MAIN ST, Brockway, PA 15824

Other Identifiers 1

Medicaid001248233-0001PA

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.

Dentist (General Practice)
409 MAIN ST
BROCKWAY, PA 15824
Dentist
409 MAIN ST
BROCKWAY, PA 15824

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 Quinn L. Lundberg, Jr., Dmd's NPI number?

The NPI number for Quinn L. Lundberg, Jr., Dmd is 1801472964. It was assigned to this organization in the NPPES registry on March 19, 2021.

Where is Quinn L. Lundberg, Jr., Dmd located?

Quinn L. Lundberg, Jr., Dmd is located at 409 Main St, Brockway, PA 15824. The listed phone number is (814) 268-6614.

What is Quinn L. Lundberg, Jr., Dmd'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 Quinn L. Lundberg, Jr., Dmd was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.