| St. Luke's Dental Health Center | |
|
801 Ostrum St Bethlehem PA 18015-1000 | |
| (484) 526-2460 | |
| Not Available |
| Full Name | St. Luke's Dental Health Center |
|---|---|
| Speciality | Dentist |
| Location | 801 Ostrum St, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Sue Chiavaroli (ENROLLMENT MANAGER) |
| Authorized Official Contact | 4845263569 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke's Dental Health Center 801 Ostrum St Bethlehem PA 18015-1000 Ph: (845) 262-4604 | St. Luke's Dental Health Center 801 Ostrum St Bethlehem PA 18015-1000 Ph: (484) 526-2460 |
| NPI Number | 1952581431 |
|---|---|
| Provider Enumeration Date | 11/13/2007 |
| Last Update Date | 08/01/2022 |
| Medicare PECOS PAC ID | 0648189688 |
|---|---|
| Medicare Enrollment ID | O20131212000089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952581431 | NPI | - | NPPES |
| 1007552510077 | Medicaid | PW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
| Provider Name | Ralph H Civjan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1710945654 PECOS PAC ID: 1850528159 Enrollment ID: I20131212000263 |
| Provider Name | Thomas J Madara |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1487757472 PECOS PAC ID: 9830326164 Enrollment ID: I20131212001019 |
| Provider Name | Laura Lb Yarger |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1952666505 PECOS PAC ID: 7012145360 Enrollment ID: I20140113000010 |
| Provider Name | Mohammed O Qahash |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1447347307 PECOS PAC ID: 8527295823 Enrollment ID: I20140522000641 |
| Provider Name | Gary A Potok |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1265472930 PECOS PAC ID: 7911222781 Enrollment ID: I20150219001231 |
St. Luke's Oms Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1521 8th Ave, Suite 100, Bethlehem, PA 18018 Phone: 610-865-8077 Fax: 610-865-8112 | |
Peter T. Andolino Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 627 W Broad St, Bethlehem, PA 18018 Phone: 610-691-6200 | |
Star Wellness Center, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 E 3rd St Unit 301, Bethlehem, PA 18015 Phone: 484-526-2460 | |
Lehigh Valley Smile Designs Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2019 Industrial Dr Unit 1, Bethlehem, PA 18017 Phone: 610-868-7601 Fax: 610-867-8128 | |
Bethlehem Family Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2162 W Union Blvd, Bethlehem, PA 18018 Phone: 610-691-2121 Fax: 610-691-1003 | |
Laser, Implants & Periodontics, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 E Elizabeth Ave Ste 5, Bethlehem, PA 18018 Phone: 610-867-8900 | |
Kosteva & Mihalakis, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2933 Linden St, Bethlehem, PA 18017 Phone: 610-865-6999 |