Organization Active NPI

Dental Professionals of Pennsylvania, P.C.

Doing business as Cherry Way Dental

  • General Practice Dentistry
  • Bridgeville, PA
National Provider Identifier
1477112340
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.
Doing business as
Cherry Way Dental
Practice address
3049 Washington Pike Ste 200
Bridgeville, PA 15017-1420
Phone
(412) 261-2500
NPI assigned
Jun 13, 2019
Last updated
Apr 1, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Tabatha Lemke
Title
Credentialing
Phone
(217) 540-6078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

3049 Washington Pike Ste 200
Bridgeville, PA 15017-1420

Mailing address

425 1St Ave FL 3
Pittsburgh, PA 15219-1321

Other names 1

  • Cherry Way Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heartland Dental Care of Pennsylvania PC40 organizations share this tax ID, including this one
Part of
Heartland Dental Care of Pennsylvania PC

Other organizations with this tax ID 39

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

View all 39

Locations

3049 Washington Pike
Ste 200
Bridgeville, PA 15017
Phone (412) 261-2500

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1477112340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 1ST AVE FL 3",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152191321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 WASHINGTON PIKE STE 200",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171420",
            "telephone_number": "412-261-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.",
        "enumeration_date": "2019-06-13",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "LEMKE",
        "authorized_official_first_name": "TABATHA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "217-540-6078"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherry Way Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cherry Way Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.