Ethel A. Esianor-Mitchual, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS029950L Issued in PA

Practice address

822 Marietta Ave Ste 21
Lancaster, PA 17603-3239

Phone

(717) 393-5055

Fax

(717) 393-5676

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Esianor-Mitchual Dental, PC

  • General Practice Dentistry
  • Lancaster, PA
  • NPI 1225799356
  NPD Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467549469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 MARIETTA AVE STE 21",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033239",
            "telephone_number": "717-393-5055",
            "fax_number": "717-393-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 MARIETTA AVE STE 21",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033239",
            "telephone_number": "717-393-5055",
            "fax_number": "717-393-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESIANOR-MITCHUAL",
        "first_name": "ETHEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS029950L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTISTRY",
            "identifier": "000000183384",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlene K. Eshleman, RN, CS
• Eric Eshleman, M.ED
• Hailey Eshleman
• Rachael Eshleman
• Stacy Mae Eshleman, CRNP
• Kathryn Espenshade, LSW
• Esperanza Hope for the Future Counseling Services, Inc
• Adriane Davia Esposito, LPC
• Brian Esposito, PSY.D.
• Julian Esteban, M.D.

• General Practice Dentistry in Lancaster, PA
• Providers in Lancaster, 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 Jul 8, 2007; 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.