Colmar Dentistry for Kids

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS028846L Issued in PA

Legal business name

COLMAR DENTISTRY FOR KIDS

Practice address

2621 N Broad St Ste B
Colmar, PA 18915-9401

Phone

(215) 822-6777

Fax

(215) 822-5490

NPI assigned

Feb 12, 2018

Organization subpart

No

Name

Dr. Deanna DudenbostelNPI 1518914845

Title

Owner

Phone

(215) 822-6777

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deanna Sue Dudenbostel, DMD

  • Pediatric Dentistry
  • Colmar, PA
  • NPI 1518914845
  NPD (past) Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 12, 2018.

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1225537640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 N BROAD ST STE B",
            "city": "COLMAR",
            "state": "PA",
            "postal_code": "189159401",
            "telephone_number": "215-822-6777",
            "fax_number": "215-822-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 N BROAD ST STE B",
            "city": "COLMAR",
            "state": "PA",
            "postal_code": "189159401",
            "telephone_number": "215-822-6777",
            "fax_number": "215-822-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLMAR DENTISTRY FOR KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "DUDENBOSTEL",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-822-6777",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS028846L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Chanen, DDS
• Robin Elyse Chanen, DMD
• Childway Pediatric Services
• Carol Lynn Cleaveland, PHD, LSW
• Colmar Dental Associates, LLC
• Colmar Imaging Partners
• Comprehensive Physical Therapy and Fitness, LLC
• Tara C Cooper, MED, MA
• George Scott Curtis, PSY.D.
• Pascalina Delmas

• All providers in Colmar, PA
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.