Look up the most recent NPI and PECOS records

Cole Family Dentistry, Llc

Dentist

Dental Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Cole Family Dentistry, Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:14 PM.

Profile Details

Provider ID
1184878456
Provider Type
Organization
Full Name
Cole Family Dentistry, Llc

Subpart
No
Enumeration Date
11/12/2008
Last Updated
11/12/2008

Contact Information

Practice Location

335 Broadway, Hanover, PA 17331-2505

(717) 632-2565

(717) 632-4119

Mailing Location

335 Broadway, Hanover, PA 17331-2505

(717) 632-2565

(717) 632-4119

Authorized Official

Mcclain, Christine M (Office Manager)

(717) 632-2565

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License DS030573L Pennsylvania
Code 1223G0001X	Description Dentist Dental Providers	License DS029955L Pennsylvania

Cole Family Dentistry, Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Noel, Matthew Jacob

Silverman, Wayne Steven

Trummer, Beth Anne

Angotti, Marshall Allen

Cole, Susan G

Michael B. Fink And John P. Grimes Family And Cosmetic Dentistry Pc

Hoffman, Timothy

Maust, Walter Elton

Parker, Brian Mcclain

Eric D. Kwiatkowski & Timothy R. Hoffman, Dental Partners