Richard A Rothwell Jr., D.D.S.

Individual provider Active NPI General Practice Dentistry · Erdenheim, PA

NPI 1881786010 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1881786010
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DS020681-L (PA)
Practice address
716 Bethlehem Pike
Erdenheim, PA 19038-8102
Phone
(215) 233-0206
Fax
(215) 233-4752
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DS020681-LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Chesheim Dental Associates Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS020681-L PA Yes

Addresses

Primary practice location

716 Bethlehem Pike
Erdenheim, PA 19038-8102

Mailing address

716 Bethlehem Pike
Erdenheim, PA 19038-8102
Phone (215) 233-0206

Other providers in Erdenheim, PA

All providers in Erdenheim, PA · General Practice Dentistry in Pennsylvania

Sources for this page

Verify at the official NPI Registry.