Healthcare Provider Details

I. General information

NPI: 1477538866
Provider Name (Legal Business Name): CARL G TEMPEL D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 SOUTH WASHINGTON ST SUITE 21
GETTYSBURG PA
17331
US

IV. Provider business mailing address

455 SOUTH WASHINGTON ST SUITE 21
GETTYSBURG PA
17325
US

V. Phone/Fax

Practice location:
  • Phone: 717-337-3232
  • Fax: 717-337-1032
Mailing address:
  • Phone: 717-337-3232
  • Fax: 717-337-1032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number11769
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDS036801
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: