Active NPI
David Patrick Lentz, DMD
- General Practice Dentistry
- Jones Mills, PA
National Provider Identifier
1023174976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS029987L
- Practice address
- 268 Route 711
Jones Mills, PA 15646 - Phone
- (724) 593-6100
- Fax
- (724) 596-6102
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS029987L | PA | Primary |
Addresses
Primary practice location
268 Route 711
Jones Mills, PA 15646
Mailing address
PO Box 108
Jones Mills, PA 15646
Phone (724) 593-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 970647 | Other | PA | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS029987L | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023174976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 108",
"city": "JONES MILLS",
"state": "PA",
"postal_code": "15646",
"telephone_number": "724-593-6100",
"fax_number": "724-593-6102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 ROUTE 711",
"city": "JONES MILLS",
"state": "PA",
"postal_code": "15646",
"telephone_number": "724-593-6100",
"fax_number": "724-596-6102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENTZ",
"first_name": "DAVID",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS029987L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "970647",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jones Mills, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.