Quinn L. Lundberg, Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

QUINN L. LUNDBERG, JR., DMD

Practice address

409 Main St
Brockway, PA 15824-1324

Phone

(814) 268-6614

Fax

(814) 265-0087

NPI assigned

Mar 19, 2021

Last updated

Mar 19, 2021By 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

Dr. Quinn L Lundberg Jr., DMDNPI 1205906617

Title

Owner

Phone

(814) 268-6614

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Quinn L Lundberg Jr., DMD

  • Dentist
  • Brockway, PA
  • NPI 1205906617
  NPD Authorized official
• Quade Lundberg, DMD

  • General Practice Dentistry
  • Brockway, PA
  • NPI 1053200527
  NPD
• Sean Sleigh

  • Dentist
  • Brockway, PA
  • NPI 1376161711
  NPD

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1801472964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 MAIN ST",
            "city": "BROCKWAY",
            "state": "PA",
            "postal_code": "158241324",
            "telephone_number": "814-268-6614",
            "fax_number": "814-265-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 MAIN ST",
            "city": "BROCKWAY",
            "state": "PA",
            "postal_code": "158241324",
            "telephone_number": "814-268-6614",
            "fax_number": "814-265-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINN L. LUNDBERG, JR., DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "LUNDBERG",
        "authorized_official_first_name": "QUINN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-268-6614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quinn L Lundberg Jr., DMD
• Luann Mabie, CRNP
• Ronald Edward Matson, RPH
• Jodi Pierson Neal, M.S., CCC-SLP
• Jolene Nicole Pyne
• Scott Steven Rendos, LPC
• Danielle Nicole Rhodes, M.S. CCC-SLP
• Edwin Richard Schlemmer, D.M.D,
• Jessica M Schuckers, OTR/L
• Suzanne Scott, MD

• General Practice Dentistry in Brockway, PA
• Providers in Brockway, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.