Provider Demographics
NPI:1700894789
Name:VINCENT P VOTILLA DMD PC
Entity Type:Organization
Organization Name:VINCENT P VOTILLA DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:P
Authorized Official - Last Name:VOTILLA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:717-396-7010
Mailing Address - Street 1:1364 HARRISBURG PIKE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-2613
Mailing Address - Country:US
Mailing Address - Phone:717-396-7010
Mailing Address - Fax:717-396-7012
Practice Address - Street 1:1364 HARRISBURG PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2613
Practice Address - Country:US
Practice Address - Phone:717-396-7010
Practice Address - Fax:717-396-7012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS025516L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty