PD - Kingston LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PD - KINGSTON LLC

Practice address

280 Pierce St
Kingston, PA 18704-5136

Phone

(570) 287-3009

Fax

(570) 287-8698

NPI assigned

Oct 31, 2025

Last updated

Oct 31, 2025By 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

Mrs. Savannah Lynn Girard

Title

Payer Strategy

Phone

(228) 355-2965

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.

• Anthony F Pittelli, D.M.D.

  • General Practice Dentistry
  • Kingston, PA
  • NPI 1902952211
  NPD (past)

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

{
    "created_epoch": "1761868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1710856455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 PIERCE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045136",
            "telephone_number": "570-287-3009",
            "fax_number": "570-287-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 PIERCE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045136",
            "telephone_number": "570-287-3009",
            "fax_number": "570-287-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PD - KINGSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-31",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "GIRARD",
        "authorized_official_first_name": "SAVANNAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PAYER STRATEGY",
        "authorized_official_telephone_number": "228-355-2965",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kie Jung Park, MD
• Pathways Healthcare Pennsylvania, LLC
• Patient Care Corporation (Patient Care Center)
• Krista Patla
• Debra A Pavlico, MS, NCC, LPC
• Ashley Pearce
• Pediatric Associates of Kingston, LLC
• Lanny C Pelliccia, DPM
• Brian Anthony Pendolphi
• Pennsylvania CVS Pharmacy, L.L.C.

• Dentist in Kingston, PA
• Providers in Kingston, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.