Donald Richard Dietrich, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS019100L Issued in PA

Practice address

2 Waterford Professional Ctr
York, PA 17402-9198

Phone

(717) 755-0114

Fax

(717) 840-9524

NPI assigned

Nov 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023189180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 BROOKEDGE LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024300",
            "telephone_number": "717-755-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WATERFORD PROFESSIONAL CTR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029198",
            "telephone_number": "717-755-0114",
            "fax_number": "717-840-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETRICH",
        "first_name": "DONALD",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS019100L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria C Diaz, CRNP
• Grey Maria Dickinson, CRNA
• Kelly L Dickson, RD, LDN
• Dana Marie Diehl
• Carrie Dierdorff
• Malcolm Howard Dietrich, D.O.
• Stephen J Dietrich, D.O.
• Bruce Dietterick, DDS., M.S., P.C.
• Allison P Dietz, M.S
• Leada Dietz, R.AC.

• General Practice Dentistry in York, PA
• Providers in York, PA by specialty
• General Practice Dentistry in Pennsylvania

• 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.

Verify at the official NPI Registry.