Emily Dobrowolski, D.M.D.
Individual provider Active NPI General Practice Dentistry · Whitehall, PA
NPI 1154765717 · NPPES record last updated Apr 24, 2013
Key facts
- NPI
- 1154765717
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS039195 (PA)
- Practice address
- 828 3Rd St
Whitehall, PA 18052-6647 - Phone
- (610) 264-3556
- NPI assigned
- Apr 24, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150615000942 | PA | Order and Referring Only - Dentist |
9830400027 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rodney M. Dobrowolski, DMD, PC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS039195 | PA | Yes |
Addresses
Primary practice location
828 3Rd St
Whitehall, PA 18052-6647
Mailing address
4698 N Church St
Whitehall, PA 18052-1005
Phone (610) 261-1084
Other providers in Whitehall, PA
- Amadna Delich
- Dental Dreams, LLC
- Elizabeth Margaret Detweiler
- Ashita Dhaduk
- Joy Dieffenderfer
- Rodney M Dobrowolski
- Doctors Brodsky and Newcomer
- Natalia Doni
- David Donohue
- Hannah Dougherty
All providers in Whitehall, 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 Apr 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.