Organization Active NPI

Leola Dental Associates

  • General Practice Dentistry
  • New Holland, PA
National Provider Identifier
1235376393
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LEOLA DENTAL ASSOCIATES
Practice address
912 W Main St
Suite 404
New Holland, PA 17557-9202
Phone
(717) 656-0005
Fax
(717) 656-2406
NPI assigned
Jan 12, 2009
Last updated
Jan 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Authorized official

Name
Kathy S Frey
Title
Business Manager
Phone
(717) 367-1336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

912 W Main St
Suite 404
New Holland, PA 17557-9202

Mailing address

912 W Main St
Suite 404
New Holland, PA 17557-9202
Phone (717) 656-0005

National Provider Directory

National Provider Directory

Locations

912 W Main St
Ste 404
New Holland, PA 17557
Phone (717) 656-0005

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1235376393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 W MAIN ST",
            "address_2": "SUITE 404",
            "city": "NEW HOLLAND",
            "state": "PA",
            "postal_code": "175579202",
            "telephone_number": "717-656-0005",
            "fax_number": "717-656-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 W MAIN ST",
            "address_2": "SUITE 404",
            "city": "NEW HOLLAND",
            "state": "PA",
            "postal_code": "175579202",
            "telephone_number": "717-656-0005",
            "fax_number": "717-656-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEOLA DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "FREY",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "717-367-1336"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Holland, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.