Individual provider Active NPI

George Visnich, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Coatesville, PA
National Provider Identifier
1710018353
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS-025816-L Issued in PA
Practice address
744 E Lincoln Hwy Ste 110
Coatesville, PA 19320-3590
Phone
(717) 299-6371
NPI assigned
Mar 7, 2007
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS-025816-L PA Primary

Addresses

Primary practice location

744 E Lincoln Hwy Ste 110
Coatesville, PA 19320-3590

Mailing address

100 N Park Rd Apt 1119
Wyomissing, PA 19610-3047

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250902003762 PA Practitioner - Oral Surgery 9234630021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Temple University School of Medicine, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

454 New Holland Ave
Suite 300
Lancaster, PA 17602-2290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS-025816-LPAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Union Community Care CurrentSince Aug 19, 2025 Accepting new patients
Union Community Care CurrentSince Aug 19, 2025 Accepting new patients

Locations

744 E Lincoln Hwy
Ste 110
Coatesville, PA 19320
Phone (610) 380-4660

304 N Water St
Lancaster, PA 17603
Phone (717) 299-6372

625 S Duke St
Lancaster, PA 17602
Phone (717) 299-6372

454 New Holland Ave
Ste 300
Lancaster, PA 17602
Phone (717) 299-6372

435 S Kinzer Ave
Ste 6
New Holland, PA 17557
Phone (717) 351-2400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1710018353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N PARK RD APT 1119",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 E LINCOLN HWY STE 110",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193203590",
            "telephone_number": "717-299-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISNICH",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS-025816-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coatesville, PA

Sources for this page

Verify at the official NPI Registry.