William A Celko, D.M.D.
Individual provider Active NPI General Practice Dentistry · Tarentum, PA
NPI 1114081908 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114081908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS022891L (PA)
- Practice address
- 415 E 4TH Ave
Tarentum, PA 15084-1847 - Phone
- (724) 224-3116
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS022891L | PA | MD | General Practice Dentistry |
Interoperability endpoints
- https://api.platform.athenahealth.com/19153/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS022891L | PA | Yes |
Addresses
Primary practice location
415 E 4TH Ave
Tarentum, PA 15084-1847
Mailing address
415 E 4TH Ave
Tarentum, PA 15084-1847
Phone (724) 224-3116
Other providers in Tarentum, PA
- Camp Chiropractic
- Amy Marie Camp
- Cardiac Surgeons, Inc.
- Paul D. Caruso
- Kay Cavanaugh
- Christine a. Smith, DMD, LLC
- Amber Lynn Clites
- Cindy Marie Closser
- Jodi Lee Condron
- Sarah Elizabeth Cousino
All providers in Tarentum, PA · General Practice Dentistry in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.