Dane Joseph Denmon, DMD
Individual provider Active NPI General Practice Dentistry · Dushore, PA
NPI 1154778025 · NPPES record last updated Oct 12, 2023
Key facts
- NPI
- 1154778025
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS040787 (PA)
- Practice address
- 232 S German St Ste a
Dushore, PA 18614-7891 - Phone
- (570) 928-8618
- NPI assigned
- May 19, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| I20160913001704 | PA | Order and Referring Only - Dentist |
6507152899 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS040787 | PA | Yes |
Addresses
Primary practice location
232 S German St Ste a
Dushore, PA 18614-7891
Mailing address
232 S German St Ste a
Dushore, PA 18614-7891
Phone (570) 928-8618
Other providers in Dushore, PA
- Kyleigh Paige Ammerman
- Deryck Winston Spencer Brown
- Peter Cartaginese
- Community Health Associates, LLC
- Amber Elizabeth Denmon
- Dushore Fire Co 1
- Dushore Fire Company No 1
- Arielle Shonte Eckroth
- Guthrie Clinic, LTD.
- Guthrie Health
All providers in Dushore, 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 Oct 12, 2023. 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.