Dale W Collins, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DSO16132 Issued in PA

Practice address

242 Noble Rd
Clarks Summit, PA 18411-9406

Phone

(570) 586-1411

Fax

(570) 586-1431

NPI assigned

Feb 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Abington Dental Center P.C.

  • General Practice Dentistry
  • Clarks Summit, PA
  • NPI 1730208281
  Authorized official Same address or phone

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962541722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 NOBLE RD",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184119406",
            "telephone_number": "570-586-1411",
            "fax_number": "570-586-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 NOBLE RD",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184119406",
            "telephone_number": "570-586-1411",
            "fax_number": "570-586-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "DALE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DSO16132",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DSO36126",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005267570001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronnie Lee Chastain Jr., ATC
• Donna Clark, PT
• Clarks Summit Fire Company No 1 Inc
• CNB Therapy Counseling Services, LLC
• Jose Collado
• Community Life Support Systems, Inc.
• Katherine Connors
• Costa Drugs Inc
• Natasha Coy, PSYD
• Kayla Cross

• General Practice Dentistry in Clarks Summit, PA
• Providers in Clarks Summit, 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 Jul 8, 2007; 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.