Healthcare Provider Details

I. General information

NPI: 1366350969
Provider Name (Legal Business Name): MICHELLE CANTWELL DMD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 S QUEEN ST
YORK PA
17403-4630
US

IV. Provider business mailing address

860 WESTMINSTER DR
LANCASTER PA
17601-1451
US

V. Phone/Fax

Practice location:
  • Phone: 717-220-8255
  • Fax: 717-298-9777
Mailing address:
  • Phone: 717-220-8255
  • Fax: 717-298-9777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number
License Number StateNULL

VIII. Authorized Official

Name: MEGAN NYE
Title or Position: PRACTICE MANAGER
Credential:
Phone: 717-298-9777