Denise Olack, D.M.D.
Individual provider Active NPI General Practice Dentistry · Hunlock Creek, PA
NPI 1659547453 · NPPES record last updated May 1, 2008
Key facts
- NPI
- 1659547453
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS026824L (PA)
- Practice address
- 46 Sweet Valley Rd
Hunlock Creek, PA 18621-3035 - Phone
- (570) 256-7346
- Fax
- (570) 256-7346
- NPI assigned
- May 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151223000108 | PA | Order and Referring Only - Oral Surgery |
5890096598 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS026824L | PA | Yes |
Addresses
Primary practice location
46 Sweet Valley Rd
Hunlock Creek, PA 18621-3035
Mailing address
46 Sweet Valley Rd
Hunlock Creek, PA 18621-3035
Other providers in Hunlock Creek, PA
- Jennifer Lynn Kottler
- Lake Silkworth Ambulance
- Lake Silkworth Volunteer Ambulance Association Inc
- Brian Meeker
- Mindful Moments Pediatric Therapy & Wellness Center, LLC
- Aleigha Brooke Parnell
- Amanda Leah Rodriguez Rogers
- Kristen Sanders
- Marisa L Schmidt
- Richelle Janai Steele
All providers in Hunlock Creek, PA · General Practice Dentistry in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.