Healthcare Provider Details

I. General information

NPI: 1669583712
Provider Name (Legal Business Name): JAMES A. KNEPLEY D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380A HARRISBURG PIKE NORTHWEST BUSINESS PARK
LANCASTER PA
17601
US

IV. Provider business mailing address

1380A HARRISBURG PIKE NORTHWEST BUSINESS PARK
LANCASTER PA
17601
US

V. Phone/Fax

Practice location:
  • Phone: 717-295-9779
  • Fax: 717-295-9747
Mailing address:
  • Phone: 717-295-9779
  • Fax: 717-295-9747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDS020134L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: