Organization Active NPI

Patterson Votilla Dentistry for Life PC

  • Dentist
  • Lancaster, PA
National Provider Identifier
1487841136
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS025082L Issued in PA
Legal business name
PATTERSON VOTILLA DENTISTRY FOR LIFE PC
Practice address
620 Delp Rd
Lancaster, PA 17601-3035
Phone
(717) 569-3911
Fax
(717) 569-6005
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Authorized official

Name
Dr. Matthew P Patterson, DMDNPI 1063609717
Title
Dentist
Phone
(717) 569-3911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS025082L PA Primary

Addresses

Primary practice location

620 Delp Rd
Lancaster, PA 17601-3035

Mailing address

620 Delp Rd
Lancaster, PA 17601-3035
Phone (717) 569-3911

Other names 1

  • Dentistry for Life Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1487841136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 DELP RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176013035",
            "telephone_number": "717-569-3911",
            "fax_number": "717-569-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 DELP RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176013035",
            "telephone_number": "717-569-3911",
            "fax_number": "717-569-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTERSON VOTILLA DENTISTRY FOR LIFE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "717-569-3911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS025082L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry for Life",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.