Preston Richard Devens, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS042722 Issued in PA

Practice address

351 Loucks Rd Ste E4
York, PA 17404-1740

Phone

(717) 848-3600

NPI assigned

Mar 23, 2020

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

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.

• Elite Dental LLC

  • General Practice Dentistry
  • Lancaster, PA
  • NPI 1467952903
  NPD (past)

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1124655980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5260 CENTRE AVE APT 809",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321316",
            "telephone_number": "610-675-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 LOUCKS RD STE E4",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174041740",
            "telephone_number": "717-848-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVENS",
        "first_name": "PRESTON",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rashmi Deshpande
• Designer Family Eyecare, LLC
• Rebecca Desimone, DPM
• Courtney Marie Dettinger, CRNP
• Erin R Dettrey, PA-C
• Careth Grace Devita, MS, LBS
• Alison Annette Devitt, BS, PHARM.D
• Taylor Nicole Devlin
• Amelia Dewees, PA-C
• Lisa L.R. Dewees, CRNP

• 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 Jun 15, 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.