Individual provider Active NPI

Mary Monica Dilger, DMD

  • Dentist
  • Nazareth, PA
National Provider Identifier
1508395187
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS041251 Issued in PA
Practice address
241 E North St
Nazareth, PA 18064-1608
Phone
(610) 759-0906
NPI assigned
Jun 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS041251 PA Primary

Addresses

Primary practice location

241 E North St
Nazareth, PA 18064-1608

Mailing address

1173 Route 390
Cresco, PA 18326-7905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS041251PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Family Dentistry LLC CurrentSince Apr 27, 2025 Accepting new patients
Bluebird Family Dental PC CurrentSince Apr 27, 2025 Accepting new patients

Locations

241 E North St
Nazareth, PA 18064
Phone (610) 759-0906

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1508395187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1173 ROUTE 390",
            "city": "CRESCO",
            "state": "PA",
            "postal_code": "183267905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 E NORTH ST",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180641608",
            "telephone_number": "610-759-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILGER",
        "first_name": "MARY",
        "middle_name": "MONICA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS041251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nazareth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.