Peter T. Andolino DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS035996 Issued in PA

Legal business name

PETER T. ANDOLINO DMD PC

Doing business as

Peter T. Andolino DMD PC

Practice address

627 W Broad St
Bethlehem, PA 18018-5220

Phone

(610) 691-6200

NPI assigned

Nov 24, 2009

Last updated

Nov 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter T Andolino, DMDNPI 1164509972

Title

President/Dentist

Phone

(610) 691-6200

Specialties & licenses 1

Addresses

Other names 1

• Peter T. Andolino DMD PC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Thomas Andolino, D.M.D

  • General Practice Dentistry
  • Bethlehem, PA
  • NPI 1164509972
  Authorized official Same address or phone

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1043548415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 W BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185220",
            "telephone_number": "610-691-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 W BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185220",
            "telephone_number": "610-691-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER T. ANDOLINO DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "ANDOLINO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "610-691-6200",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peter T. Andolino DMD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George A Persin, DO
• Maureen C. Persin, DO
• Lauren Pescatore, LCSW
• Andrew Pestcoe, D.O.
• Jonathan Pester, D.O.
• Stephanie Rebecca Peterman, CRNP-BC
• Danielle Peters, MD
• Lauren Peters, PA-C
• Karen A Peterson, CRNP
• Valerie K Peterson, LCSW

• General Practice Dentistry in Bethlehem, PA
• Providers in Bethlehem, 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 Nov 24, 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.