Philipsburg Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS031452L Issued in PA

Legal business name

PHILIPSBURG FAMILY DENTISTRY

Practice address

109 N Centre St
Philipsburg, PA 16866-1661

Phone

(814) 342-1101

NPI assigned

Apr 28, 2008

Last updated

Jan 28, 2016By 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. Jolene J Gavlak-Vaughn, D.D.S.

Title

Owner

Phone

(814) 557-5114

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Jolene Gavlak, D.D.S.

  • General Practice Dentistry
  • Philipsburg, PA
  • NPI 1629193743
  NPD (past)

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1912172263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168660060",
            "telephone_number": "814-342-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N CENTRE ST",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168661661",
            "telephone_number": "814-342-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIPSBURG FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "GAVLAK-VAUGHN",
        "authorized_official_first_name": "JOLENE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-557-5114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS031452L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001819412",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Marie Parks, MS, CCC-SLP/L
• Adam Daniel Paronish, FNP-C, CRNP
• Misty Lynn Pennington, LSW
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #01919)
• Philipsburg Area Hospital
• Philipsburg Hearing Services LLC
• Philipsburg Regional Medical Center
• Philipsburg-Osceola School District
• Phillipsburg SNF Opco LLC (Heritage Ridge Senior Living at Windy Hill)
• Philip A. Pilgram, M.D.

• General Practice Dentistry in Philipsburg, PA
• Providers in Philipsburg, 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 Jan 28, 2016; 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.