Individual provider Active NPI

Daniel Lemchak, DMD

  • General Practice Dentistry
  • Bangor, PA
National Provider Identifier
1982586608
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS045325 Issued in PA
Practice address
48 N 3Rd St
Bangor, PA 18013-1908
Phone
(610) 588-2722
NPI assigned
Jul 23, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS045325 PA Primary

Addresses

Primary practice location

48 N 3Rd St
Bangor, PA 18013-1908

Mailing address

15 Grantwood Rd
Wayne, NJ 07470-6428

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS045325PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Oral Surgery PLLC CurrentSince Jul 28, 2025 Accepting new patients
Pacifico Dental Care LLC PastSince Jul 28, 2025 Accepting new patients

Locations

48 N 3rd St
Bangor, PA 18013
Phone (610) 588-2722

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1982586608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GRANTWOOD RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 N 3RD ST",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180131908",
            "telephone_number": "610-588-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMCHAK",
        "first_name": "DANIEL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS045325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.