Ditzler Family Dentistry PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DS015614L Issued in PA

Legal business name

DITZLER FAMILY DENTISTRY PC

Practice address

850 Norman Dr
Lebanon, PA 17042-7444

Phone

(717) 273-7627

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Carroll E Ditzler, DDS

Title

Owner

Phone

(717) 273-7627

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184849028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 NORMAN DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427444",
            "telephone_number": "717-273-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 NORMAN DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427444",
            "telephone_number": "717-273-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DITZLER FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DITZLER",
        "authorized_official_first_name": "CARROLL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-273-7627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS015614L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Dinh, OD
• Mark E Dion, DO
• Ellen M Disantis, DPT
• Robert Disantis
• Katey Dissinger
• Jessica Lynne Ditzler, PTA
• Koren Dixon, FNP-BC
• Michael Tran Doan, RPH
• Christine Rose Dobbs, CRNP
• Kimberly A Dodson, CRNP

• Dental Clinic/Center in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Dental Clinic/Center 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.