Millersville Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS026925L Issued in PA

Legal business name

MILLERSVILLE DENTAL LLC

Practice address

525 Leaman Ave
Millersville, PA 17551-1109

Phone

(717) 871-9002

NPI assigned

Apr 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kurt A Pesta, DDS

Title

Owner Member LLC

Phone

(717) 871-9002

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1295001428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 LEAMAN AVE",
            "city": "MILLERSVILLE",
            "state": "PA",
            "postal_code": "175511109",
            "telephone_number": "717-871-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 LEAMAN AVE",
            "city": "MILLERSVILLE",
            "state": "PA",
            "postal_code": "175511109",
            "telephone_number": "717-871-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLERSVILLE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "PESTA",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER MEMBER LLC",
        "authorized_official_telephone_number": "717-871-9002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS026925L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Lauren Messick, PA-C
• Meagan Michelle Michael, BSW
• Darien S Miller
• Marcus Greg Miller, D.C.
• Sarah Miller
• Millersville University Health Services
• Riley Mills
• Shanta Marie Mills
• Madeline Anne Mitchell
• Mikeisha Isonita Mobley

• General Practice Dentistry in Millersville, PA
• Providers in Millersville, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.