Organization Active NPI

Dr. Esianor-Mitchual Dental, PC

  • General Practice Dentistry
  • Lancaster, PA
National Provider Identifier
1225799356
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DR. ESIANOR-MITCHUAL DENTAL, PC
Practice address
822 Marietta Ave Ste 21
Lancaster, PA 17603-3239
Phone
(717) 393-5055
NPI assigned
Dec 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Authorized official

Name
Dr. Ethel Esianor-Mitchual, DDSNPI 1467549469
Title
Dentist
Phone
(717) 393-5055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

822 Marietta Ave Ste 21
Lancaster, PA 17603-3239

Mailing address

822 Marietta Ave Ste 21
Lancaster, PA 17603-3239
Phone (717) 393-5055

National Provider Directory

National Provider Directory

Locations

822 Marietta Ave
Ste 21
Lancaster, PA 17603
Phone (717) 393-5055

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1225799356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 MARIETTA AVE STE 21",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033239",
            "telephone_number": "717-393-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 MARIETTA AVE STE 21",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033239",
            "telephone_number": "717-393-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ESIANOR-MITCHUAL DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "ESIANOR-MITCHUAL",
        "authorized_official_first_name": "ETHEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "717-393-5055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.