Active NPI
State College Family Dentistry
- Dental Clinic/Center
- State College, PA
National Provider Identifier
1497562680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- STATE COLLEGE FAMILY DENTISTRY
- Practice address
- 220 Regent CT Ste D
State College, PA 16801-7969 - Phone
- (814) 238-6734
- NPI assigned
- Dec 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kellie E Kline
- Title
- Office Manager
- Phone
- (814) 238-6734
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
220 Regent CT Ste D
State College, PA 16801-7969
Mailing address
220 Regent CT Ste D
State College, PA 16801-7969
Phone (814) 238-6734
National Provider Directory
National Provider DirectoryLocations
220 Regent Ct
Ste D
State College, PA 16801
Phone (814) 238-6734
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- State College, PA
- NPI 1891853867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733961600000",
"number": "1497562680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 REGENT CT STE D",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168017969",
"telephone_number": "814-238-6734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 REGENT CT STE D",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168017969",
"telephone_number": "814-238-6734"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATE COLLEGE FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-12",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A",
"authorized_official_last_name": "KLINE",
"authorized_official_first_name": "KELLIE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "814-238-6734"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in State College, PA
- Jessie Westrick Starks, M.A.
- Katherine J Starostik, CRNP
- State College Anesthesia Associates, P.C.
- State College Area School District
- State College Eye Care PC
- State College Family Medicine
- State College Orthodontics, P.C.
- State College Psychological Services
- State College Urologic Associates, Inc.
- Julie States, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.