Pagoda Dental Group of Oley, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PAGODA DENTAL GROUP OF OLEY, PLLC

Practice address

2 Town Center Dr
Oley, PA 19547-1954

Phone

(610) 987-6746

NPI assigned

Nov 29, 2018

Last updated

Nov 29, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew J Giesa, DMD

Title

Dentist/Owner

Phone

(509) 627-9291

Specialties & licenses 1

Addresses

Locations

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.

• Daniel Frederick Ciabattoni, DMD

  • Dentist
  • Sinking Spring, PA
  • NPI 1003302142
  NPD (past)
• Cecil R Wolcott Jr., D.D.S.

  • General Practice Dentistry
  • Oley, PA
  • NPI 1871690297
  NPD (past)

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543449600000",
    "number": "1245700541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4906 PENN AVE",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196088609",
            "telephone_number": "610-678-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TOWN CENTER DR",
            "city": "OLEY",
            "state": "PA",
            "postal_code": "195471954",
            "telephone_number": "610-987-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAGODA DENTAL GROUP OF OLEY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A",
        "authorized_official_last_name": "GIESA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "509-627-9291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher P Moyer, CPHT
• Oley Family Chiropractic, Inc.
• Oley Fire Company (Oley Fire Company Ambulance)
• Oley Valley Family Dentistry LLC
• Oley Valley School District
• Tammy Phillips, MSCN
• Joyce G. Pottash, PSY.D.
• Debra Lynn Readinger, LMT
• Russlin Enterprises Dba Caring Matters Home Care
• Jamie Wynn Slegel, ATC

• Dental Clinic/Center in Oley, PA
• Providers in Oley, 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 Nov 29, 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.