Susquehanna Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS017834L Issued in PA

Legal business name

SUSQUEHANNA DENTAL

Practice address

4655 Linglestown Rd
Suite a
Harrisburg, PA 17112-8555

Phone

(717) 652-4551

Fax

(717) 652-7305

NPI assigned

Jun 2, 2006

Last updated

Aug 22, 2020By 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. Harry Aves, DDSNPI 1811180532

Title

Owner/Partner

Phone

(717) 652-4551

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Harry Aves, DDS

  • Dentist
  • Harrisburg, PA
  • NPI 1811180532
  NPD (past) Authorized official
• Thomas Patrick Lacey II, DMD

  • General Practice Dentistry
  • Harrisburg, PA
  • NPI 1952963621
  NPD (past)
• Kyle Joseph Purvis, DMD

  • Dentist
  • Harrisburg, PA
  • NPI 1184144255
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306883681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 LINGLESTOWN RD",
            "address_2": "SUITE A",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171128555",
            "telephone_number": "717-652-4551",
            "fax_number": "717-652-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 LINGLESTOWN RD",
            "address_2": "SUITE A",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171128555",
            "telephone_number": "717-652-4551",
            "fax_number": "717-652-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSQUEHANNA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AVES",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "717-652-4551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS017834L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supportive Hands Homecare
• Lindsey Taylor Surace, MD
• Bharath Nair Suresh Kumar Bindu
• Surgery Center of Harrisburg
• Surgical Physicians, P.C.
• Susquehanna Optical Inc
• Susquehanna Township Emergency Medical Services, Inc.
• Susquehanna Township School District
• Susquehanna Valley Pain Management PC
• Susquehanna Valley Surgery Center

• General Practice Dentistry in Harrisburg, PA
• Providers in Harrisburg, 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 Aug 22, 2020; 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.