Hostetler Family Dentistry PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS030210L Issued in PA

Legal business name

HOSTETLER FAMILY DENTISTRY PC

Practice address

665 Cherry Tree LN
#B
Uniontown, PA 15401-8947

Phone

(724) 438-7676

Fax

(724) 438-3060

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kelly Dawn Hostetler, DDS

Title

Dentist

Phone

(724) 438-7676

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184632473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 CHERRY TREE LN",
            "address_2": "#B",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018947",
            "telephone_number": "724-438-7676",
            "fax_number": "724-438-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 CHERRY TREE LN",
            "address_2": "#B",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018947",
            "telephone_number": "724-438-7676",
            "fax_number": "724-438-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSTETLER FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOSTETLER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "724-438-7676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS030210L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA",
            "identifier": "030210",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "963585",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018764910001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Hopwood, RN
• Torre Horne
• Corie Horner, MS
• Joshua Alexander Horvath
• Hospital Care Associates
• Brandon Hostetler
• Brandy Jo Hostetler
• Kelly Dawn Hostetler, DDS
• Wanda Houser
• Marjorie Laura Hovan, M.ED. CCC SLP

• General Practice Dentistry in Uniontown, PA
• Providers in Uniontown, 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 22, 2020; 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.