SDK Professional Services, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS028116L Issued in PA

Legal business name

SDK PROFESSIONAL SERVICES, LLC

Practice address

250 Fame Ave
Suite 206
Hanover, PA 17331-1587

Phone

(717) 578-5839

Fax

(717) 326-1305

NPI assigned

Mar 23, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Linda S Blann, DDS

Title

Owner

Phone

(717) 578-5839

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sedation & Sleep Dentistry for Kids Doing business as

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1679967137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7347",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174040347",
            "telephone_number": "717-578-5839",
            "fax_number": "717-326-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FAME AVE",
            "address_2": "SUITE 206",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311587",
            "telephone_number": "717-578-5839",
            "fax_number": "717-326-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDK PROFESSIONAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "BLANN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-578-5839",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS028116L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1395776004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sedation & Sleep Dentistry for Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Michael Schimizzi, D.C.
• Tanya Schisler, PA-C
• Victoria L. Schoberg, MS, LCPC, LCP
• John R. Schwartz, D.O.
• Megan Scott
• Sedation Dentistry Today, LLC
• Thomas Sedlacko, PHARMD
• Seele Collective, LLC
• Brenda Anne Selby, PT
• Tracy Lynn Selby, MSW

• Pediatric Dentistry in Hanover, PA
• Providers in Hanover, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.