Organization Active NPI

Centerville Family Dental, LTD.

  • Dentist
  • Lancaster, PA
National Provider Identifier
1740147453
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CENTERVILLE FAMILY DENTAL, LTD.
Practice address
803 Estelle Dr
Lancaster, PA 17601-2130
Phone
(717) 898-9099
Fax
(717) 898-8665
NPI assigned
Jan 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Authorized official

Name
Ms. Kathy M Grove
Title
Office Administrator
Phone
(717) 823-3630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

803 Estelle Dr
Lancaster, PA 17601-2130

Mailing address

803 Estelle Dr
Lancaster, PA 17601-2130
Phone (717) 898-9099

National Provider Directory

National Provider Directory
Tax ID family
Centerville Family Dental LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

803 Estelle Dr
Lancaster, PA 17601
Phone (717) 898-9099

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1740147453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 ESTELLE DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012130",
            "telephone_number": "717-898-9099",
            "fax_number": "717-898-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 ESTELLE DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012130",
            "telephone_number": "717-898-9099",
            "fax_number": "717-898-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERVILLE FAMILY DENTAL, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "GROVE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "717-823-3630",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.