Dennis J Charlton, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS022280L Issued in PA

Practice address

3242 South Main Street
Box 487
Sandy Lake, PA 16145

Phone

(724) 376-7161

Fax

(724) 376-3754

NPI assigned

Aug 18, 2005

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249516800000",
    "number": "1164414835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 SANDY LAKE GROVE CITY RD",
            "city": "STONEBORO",
            "state": "PA",
            "postal_code": "161532830",
            "telephone_number": "724-376-3361",
            "fax_number": "724-376-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3242 SOUTH MAIN STREET",
            "address_2": "BOX 487",
            "city": "SANDY LAKE",
            "state": "PA",
            "postal_code": "16145",
            "telephone_number": "724-376-7161",
            "fax_number": "724-376-3754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLTON",
        "first_name": "DENNIS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2009-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS022280L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Francis Behe, DC
• Corinne Frances Brooks, MD
• Chandan Dental Associates
• Krystal Jean Devault, LCSW, LISW
• Deborah L Gosnell, CRNP
• Jaida Heckman
• Phiphone Inthalangsy, DMD
• Leslie Arthur Jenkins, DMD

• All providers in Sandy Lake, PA
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.