GD PA Collegeville PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GD PA COLLEGEVILLE PLLC

Practice address

555 Second Ave Ste D-500
Collegeville, PA 19426-3641

Phone

(610) 409-9370

NPI assigned

Oct 9, 2024

Last updated

Oct 9, 2024By 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

Chad Hendricks

Title

Credentialing

Phone

(612) 859-0444

Specialties & licenses 1

Addresses

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.

• Shreya Kolar, DDS

  • Dentist
  • Collegeville, PA
  • NPI 1205685757
  NPD
• Tamara Volkova, DMD

  • Dentist
  • Collegeville, PA
  • NPI 1457492902
  NPD (past)
• Alisa Zitter, DMD

  • General Practice Dentistry
  • Pottstown, PA
  • NPI 1629507173
  NPD (past)

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1992524623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SECOND AVE STE D-500",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263641",
            "telephone_number": "610-409-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SECOND AVE STE D-500",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263641",
            "telephone_number": "610-409-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GD PA COLLEGEVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Amber Garner
• Amy Lynn Garris, COTA/L
• Blossom Eseoghene Gateau
• Leanne Gauger Knapp, MSN, APRN, FNP-BC
• Abigail T Gauntner
• Gentle Hands Total Home Care Services LLC
• Megan Colleen Gilinger, D.M.D.
• Michelle Gilinger, PT
• Amani Gilliam
• Burton Ginsberg, D.O.

• General Practice Dentistry in Collegeville, PA
• Providers in Collegeville, 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 Oct 9, 2024; 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.