Provider Demographics
NPI:1255698049
Name:VENTURA, CATHERINE JOAN (DMD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:JOAN
Last Name:VENTURA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:CATHERINE
Other - Middle Name:JOAN
Other - Last Name:TIMBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:716 BETHLEHEM PIKE
Mailing Address - Street 2:
Mailing Address - City:ERDENHEIM
Mailing Address - State:PA
Mailing Address - Zip Code:19038-8102
Mailing Address - Country:US
Mailing Address - Phone:215-233-0206
Mailing Address - Fax:
Practice Address - Street 1:716 BETHLEHEM PIKE
Practice Address - Street 2:
Practice Address - City:ERDENHEIM
Practice Address - State:PA
Practice Address - Zip Code:19038-8102
Practice Address - Country:US
Practice Address - Phone:215-233-0206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-18
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0383681223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry