Jennifer Siwula Gill DMD LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DS035226 Issued in PA

Legal business name

JENNIFER SIWULA GILL DMD LLC

Practice address

322 Pittsburgh St
Scottdale, PA 15683-1723

Phone

(724) 887-4111

Fax

(724) 887-5582

NPI assigned

Aug 14, 2012

Organization subpart

No

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

Authorized official

Name

Jennifer Siwula Gill, DMDNPI 1184699969

Title

Owner

Phone

(724) 887-4111

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jennifer Siwula Gill, DMD

  • General Practice Dentistry
  • Scottdale, PA
  • NPI 1184699969
  NPD (past) Authorized official
• Edward D. Thornblade, DDS

  • General Practice Dentistry
  • Scottdale, PA
  • NPI 1518011956
  NPD (past)

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1558618157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 PITTSBURGH ST",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831723",
            "telephone_number": "724-887-4111",
            "fax_number": "724-887-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 PITTSBURGH ST",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831723",
            "telephone_number": "724-887-4111",
            "fax_number": "724-887-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER SIWULA GILL DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "SIWULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-887-4111",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS035226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Herdt, CRNP
• Barbara Ann Hoffman, RPH
• George E Hoffman Jr., P.T., M.ED.
• Alexandria Hollis, PHARMD
• Lynn Marie Horgan-Pisarski, PT
• Alexis Olivia Klatt
• Kraisinger Family Dentistry
• Rebecca Diona Luker, MFT
• Claudia Matthews
• David Lee McIntire, R,PH.

• Dentist in Scottdale, PA
• Providers in Scottdale, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.