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NPI 1356274153

NPI 1356274153 : MICHELLE CANTWELL, DMD,P.C. : EAST PETERSBURG, PA

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General NPI Number Information
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    NPI Number           |    1356274153
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    Entity Type          |    Organization 
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    Legal Business Name  |    MICHELLE CANTWELL, DMD,P.C. 
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Dates
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    Enumeration Date     |    06/03/2026
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    Last Update Date     |    06/03/2026
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Provider Practice Location Address
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    Address Line         |    1890 STATE ST 
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    City                 |    EAST PETERSBURG
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    State                |    PA
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    Zip                  |    17520-1323
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    Country              |    US
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    Telephone            |    717-220-8255
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    Fax                  |    717-298-9777
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Provider Business Mailing Address
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    Address Line         |    860 WESTMINSTER DR 
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    City                 |    LANCASTER
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    State                |    PA
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    Zip                  |    17601-1451
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    Country              |    US
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    Telephone            |    717-220-8255
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    Fax                  |    717-298-9777
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Authorized Official
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    Title or Position    |    AUTHORIZED OFFICIAL/ OWNER
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    Name                 |     MICHELLE  CANTWELL 
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    Credential           |    DMD
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    Telephone            |    717-725-3662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223P0700X
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    Taxonomy Name        |    Prosthodontics
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    License Number       |    
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    License Number State |    
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