Quade Lundberg, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS045233 Issued in PA

Practice address

409 Main St
Brockway, PA 15824-1324

Phone

(814) 268-6614

NPI assigned

Jun 30, 2025

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

Locations

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.

• Quinn L. Lundberg, Jr., DMD

  • General Practice Dentistry
  • Brockway, PA
  • NPI 1801472964
  NPD

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1053200527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 ROUTE 219",
            "city": "BROCKPORT",
            "state": "PA",
            "postal_code": "158233810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 MAIN ST",
            "city": "BROCKWAY",
            "state": "PA",
            "postal_code": "158241324",
            "telephone_number": "814-268-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDBERG",
        "first_name": "QUADE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS045233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Edward Devlin
• Keystone Rehabilitation Systems Inc
• Amy Lynn Klaiber, PT
• Willis Todd Leavitt, MD
• Kara A Lechene, CRNP
• Quinn L Lundberg Jr., DMD
• Luann Mabie, CRNP
• Ronald Edward Matson, RPH
• Jodi Pierson Neal, M.S., CCC-SLP
• Jolene Nicole Pyne

• General Practice Dentistry in Brockway, PA
• Providers in Brockway, 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 Jun 30, 2025; 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.