Denise Olack, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS026824L Issued in 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

Last updated

May 1, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1659547453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 SWEET VALLEY RD",
            "city": "HUNLOCK CREEK",
            "state": "PA",
            "postal_code": "186213035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 SWEET VALLEY RD",
            "city": "HUNLOCK CREEK",
            "state": "PA",
            "postal_code": "186213035",
            "telephone_number": "570-256-7346",
            "fax_number": "570-256-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLACK",
        "first_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS026824L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Kottler
• Lake Silkworth Ambulance
• Lake Silkworth Volunteer Ambulance Association Inc
• Brian Meeker, MPT
• Mindful Moments Pediatric Therapy & Wellness Center, LLC
• Aleigha Brooke Parnell
• Amanda Leah Rodriguez Rogers
• Kristen Sanders
• Marisa L Schmidt, OTR/L
• Richelle Janai Steele, OTR/L

• General Practice Dentistry in Hunlock Creek, PA
• Providers in Hunlock Creek, 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 May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.