Penns Valley Dental Associates, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PENNS VALLEY DENTAL ASSOCIATES, P.C.

Practice address

4570 Penns Valley Rd
Suite 2
Spring Mills, PA 16875-8500

Phone

(814) 422-8768

Fax

(814) 422-0379

NPI assigned

Jul 15, 2006

Last updated

Mar 1, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael K Dawson, D.D.S.NPI 1619197134

Title

Dentist

Phone

(814) 422-8768

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael K. Dawson, D.M.D.

  • General Practice Dentistry
  • Spring Mills, PA
  • NPI 1619197134
  NPD (past) Authorized official

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1174549778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4570 PENNS VALLEY RD",
            "address_2": "SUITE 2",
            "city": "SPRING MILLS",
            "state": "PA",
            "postal_code": "168758500",
            "telephone_number": "814-422-8768",
            "fax_number": "814-422-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 PENNS VALLEY RD",
            "address_2": "SUITE 2",
            "city": "SPRING MILLS",
            "state": "PA",
            "postal_code": "168758500",
            "telephone_number": "814-422-8768",
            "fax_number": "814-422-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNS VALLEY DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "814-422-8768",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Ann Myers, CRNP
• Salvatore Louis Nicosia Jr.
• Nittany Eye Associates LTD
• Penns Valley Area Medical Center PC
• Penns Valley Area School District
• Penns Valley Emergency Medical Services
• Melina Pinamonti, MS, CCC-SLP
• Craig E Pursell, DO
• Marta Roy, CRNP
• Mallory Schaffer, MD

• General Practice Dentistry in Spring Mills, PA
• Providers in Spring Mills, 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 Mar 1, 2010; 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.