Susquehanna Valley Dental Health Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS17696 Issued in PA

Legal business name

SUSQUEHANNA VALLEY DENTAL HEALTH ASSOCIATES

Practice address

20 Schoolhouse Rd
Milton, PA 17847-7909

Phone

(570) 742-9607

NPI assigned

Feb 26, 2007

Last updated

Aug 22, 2020By 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. Clayton Orlando Pesillo, DMDNPI 1376502799

Title

Partner

Phone

(570) 742-9607

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Susquehanna Valley Dental Health Associates2 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.

• Susquehanna Valley Dental Health Associates

  • Dentist
  • Milton, PA
  • NPI 1891298147
  NPD tax ID

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.

• Clayton Orlando Pesillo, DMD

  • General Practice Dentistry
  • Milton, PA
  • NPI 1376502799
  NPD (past) Authorized official
• Pankaj Kumar Dhingra, DDS

  • Dentist
  • Milton, PA
  • NPI 1588912323
  NPD (past)
• Kiho Ma, D.D.S.

  • Dentist
  • Milton, PA
  • NPI 1285690149
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811023856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SCHOOLHOUSE RD",
            "city": "MILTON",
            "state": "PA",
            "postal_code": "178477909",
            "telephone_number": "570-742-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SCHOOLHOUSE RD",
            "city": "MILTON",
            "state": "PA",
            "postal_code": "178477909",
            "telephone_number": "570-742-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSQUEHANNA VALLEY DENTAL HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PESILLO",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "ORLANDO",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "570-742-9607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS17696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019642900001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abby Lou Smith, OTA
• Richard Steven Smith, MD
• Soulful Healing Therapy & Wellness
• Janel Marie Stahlnecker, OTR
• Adrienne Marie Steppe, OTR
• Susquehanna Valley Dental Health Associates
• Susquehanna Valley Mobility Services, Inc.
• Team Milton Healthcare LLC (Kramm Health and Rehab Center)
• The Redco Group, LLC.
• Win Thein, M.D.

• General Practice Dentistry in Milton, PA
• Providers in Milton, 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 Aug 22, 2020; 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.