Stephen Louis Olitsky, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS027192L Issued in PA

Practice address

1117 S. Broad St.
Lansdale, PA 19446

Phone

(215) 855-3400

Fax

(215) 855-3353

NPI assigned

Sep 3, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Ceramic Arts

  • Dental Laboratory
  • Lansdale, PA
  • NPI 1003496985
  NPD (past)
• Upper Gwynedd Dental Arts

  • Dentist
  • Lansdale, PA
  • NPI 1811039498
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1013140284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 S. BROAD ST.",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "19446",
            "telephone_number": "215-855-3400",
            "fax_number": "215-855-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 S. BROAD ST.",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "19446",
            "telephone_number": "215-855-3400",
            "fax_number": "215-855-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLITSKY",
        "first_name": "STEPHEN",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-03",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS027192L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Ockershausen
• Brian J Odonnell, MD
• Courtney Ogbeche, LPC
• Seungeun Oh, CRNP
• Allan J Olitsky, D.D.S.
• Theodore Evor Olson, M.DIV., M.S.
• Om Jai Parvati LLC
• Joseph Frederick Omalley, M.D.
• Ophthalmic Associates
• Ophthalmic Associates PC

• Dentist in Lansdale, PA
• Providers in Lansdale, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.