Dental Arts PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DAO19968L Issued in PA

Legal business name

DENTAL ARTS PC

Practice address

386 Northampton St
Edwardsville, PA 18704-5448

Phone

(570) 283-0554

Fax

(570) 283-0555

NPI assigned

Aug 24, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Reichard, DMD

Title

Dentist

Phone

(570) 283-0554

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1316227283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 NORTHAMPTON ST",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187045448",
            "telephone_number": "570-283-0554",
            "fax_number": "570-283-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 NORTHAMPTON ST",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187045448",
            "telephone_number": "570-283-0554",
            "fax_number": "570-283-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ARTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "REICHARD",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "570-283-0554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DAO19968L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005285460001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Leigh Clare, OTR
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• Commonwealth Pain and Wellness Center LLC
• Kristy Dante, LPC
• Digestive Care Associates PC
• Lisa Joan Duffy, CRNP
• Edwardsville Volunteer Firemens Community Ambulance Association
• Eva Ofcharsky
• Katherine Mary Field, MS, OTR/L

• General Practice Dentistry in Edwardsville, PA
• Providers in Edwardsville, 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 24, 2011; 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.