Covenant Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

COVENANT FAMILY DENTISTRY

Practice address

750 S Potomac St
Waynesboro, PA 17268-2198

Phone

(717) 762-1515

Fax

(717) 762-6103

NPI assigned

Jun 11, 2018

Last updated

Jun 11, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Zimmerman, DDSNPI 1760559942

Title

Owner

Phone

(717) 762-1515

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Robert R Zimmerman, DDS

  • General Practice Dentistry
  • Waynesboro, PA
  • NPI 1760559942
  Authorized official Same address or phone

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528675200000",
    "number": "1629561014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S POTOMAC ST",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172682198",
            "telephone_number": "717-762-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S POTOMAC ST",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172682198",
            "telephone_number": "717-762-1515",
            "fax_number": "717-762-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-762-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Colangelo, DMD
• David A Collins, MD
• Timothy Lee Cool, CSFA
• Cornerstone Family Dentistry,LLC
• Joel Cortes, D.D.S.
• Robert W Crebs Jr.
• Melissa Coreen Criollo Zambrano, CRNP
• Patricia Lynn Curley, CRNP
• Terry L Davis, PHARM.D.
• Cheryl Lynn Deal

• General Practice Dentistry in Waynesboro, PA
• Providers in Waynesboro, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.