Peter Thomas Andolino, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS035996 Issued in PA

Practice address

627 W Broad St
Bethlehem, PA 18018-5220

Phone

(610) 691-6200

Fax

(610) 691-1840

NPI assigned

Nov 1, 2006

Last updated

Aug 20, 2015By the provider in NPPES

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peter T. Andolino DMD PC

  • General Practice Dentistry
  • Bethlehem, PA
  • NPI 1043548415
  Authorized official Same address or phone

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1164509972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 W BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185220",
            "telephone_number": "484-991-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 W BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185220",
            "telephone_number": "610-691-6200",
            "fax_number": "610-691-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDOLINO",
        "first_name": "PETER",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anderson-Gadbois Urologic Assoc., PC
• Alexis Corrine Anderson, DO
• Deviona Anderson
• John R Anderson, M.D.
• Kelly Anderson, CRNA
• Kenneth Michael Andrejko, D.O.
• Marilyn J Andress, MS, CCC-SLP
• Stacy N Andrews, RN, BSN
• Amanprit Aneja
• Anesthesia Specialists of Bethlehem, PC

• General Practice Dentistry in Bethlehem, PA
• Providers in Bethlehem, 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 Aug 20, 2015; 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.