Individual provider Active NPI

Catherine Dulay Lichtenstein, DDS

  • General Practice Dentistry
  • Collegeville, PA
National Provider Identifier
1750518445
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS039389 Issued in PA
Practice address
3801 Germantown Pike Ste 107
Collegeville, PA 19426-4019
Phone
(610) 489-6363
Fax
(610) 489-8363
NPI assigned
Jun 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 054284 NY
General Practice Dentistry 1223G0001X DS039389 PA Primary

Addresses

Primary practice location

3801 Germantown Pike Ste 107
Collegeville, PA 19426-4019

Mailing address

3801 Germantown Pike Ste 107
Collegeville, PA 19426-4019
Phone (610) 489-6363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS039389PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Serene Sleep Dental PC General Practice Current Accepting new patients

Locations

3801 Germantown Pike
Ste 107
Collegeville, PA 19426
Phone (610) 489-6363

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1750518445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 GERMANTOWN PIKE STE 107",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194264019",
            "telephone_number": "610-489-6363",
            "fax_number": "610-489-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 GERMANTOWN PIKE STE 107",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194264019",
            "telephone_number": "610-489-6363",
            "fax_number": "610-489-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHTENSTEIN",
        "first_name": "CATHERINE",
        "middle_name": "DULAY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054284",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS039389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collegeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.