1972376333 NPI number — CHRISTMAS CITY DENTISTRY PLLC

Table of content: (NPI 1972376333)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972376333 NPI number — CHRISTMAS CITY DENTISTRY PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHRISTMAS CITY DENTISTRY PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972376333
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/07/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3859 NAZARETH PIKE
Provider Second Line Business Mailing Address:
SUITES 202 AND 203
Provider Business Mailing Address City Name:
BETHLEHEM
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18020-1102
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-419-0088
Provider Business Mailing Address Fax Number:
610-419-0372

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3859 NAZARETH PIKE
Provider Second Line Business Practice Location Address:
SUITES 202 AND 203
Provider Business Practice Location Address City Name:
BETHLEHEM
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18020
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-419-0088
Provider Business Practice Location Address Fax Number:
610-419-0372
Provider Enumeration Date:
11/06/2023

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
OLEN
Authorized Official First Name:
JEREMY
Authorized Official Middle Name:
DANIEL
Authorized Official Title or Position:
SOLE MEMBER
Authorized Official Telephone Number:
610-304-5359

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)