Northern Cambria Dentists

Primary specialty

DentistTaxonomy code 122300000X

License

DS019482L Issued in PA

Legal business name

NORTHERN CAMBRIA DENTISTS

Practice address

2056 Plank Road
Carrolltown, PA 15722-0598

Phone

(814) 344-6644

Fax

(814) 344-6332

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

John Bernard Lovette II, DDS

Title

Partner

Phone

(814) 344-6644

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083701726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2056 PLANK ROAD",
            "city": "CARROLLTOWN",
            "state": "PA",
            "postal_code": "157220598",
            "telephone_number": "814-344-6644",
            "fax_number": "814-344-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2056 PLANK ROAD",
            "city": "CARROLLTOWN",
            "state": "PA",
            "postal_code": "157220598",
            "telephone_number": "814-344-6644",
            "fax_number": "814-344-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CAMBRIA DENTISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOVETTE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "814-344-6644",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS019482L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011543060001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "559332",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.