NPIMap

Organization Active NPI

Progressive Dental Concepts LLC

  • Dentist
  • Shiremanstown, PA
National Provider Identifier
1265065320
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PROGRESSIVE DENTAL CONCEPTS LLC
Practice address
205 E Main St
Shiremanstown, PA 17011-6396
Phone
(717) 763-5588
NPI assigned
Feb 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Pamela Brandt
Title
Director of Centralized Services
Phone
(717) 808-5041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

205 E Main St
Shiremanstown, PA 17011-6396

Mailing address

173 S 32ND St
Camp Hill, PA 17011-5102
Phone (717) 599-0456

Other names 1

  • East Main Street Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Progressive Dental Concepts LLC16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

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": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1265065320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 S 32ND ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170115102",
            "telephone_number": "717-599-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E MAIN ST",
            "city": "SHIREMANSTOWN",
            "state": "PA",
            "postal_code": "170116396",
            "telephone_number": "717-763-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE DENTAL CONCEPTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "BRANDT",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "DIRECTOR OF CENTRALIZED SERVICES",
        "authorized_official_telephone_number": "717-808-5041"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Main Street Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shiremanstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.