Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508363870 Individual Practitioner Male Practitioner

Dr. Calvin Tao Lin , DMD

Dentist - General Practice • Glenside, PA

Professional Overview & Biography Verified Profile Summary

Dr. Calvin Lin, DMD is a registered healthcare professional specializing in Dentist - General Practice in Glenside, PA. Practice services are available at 230 N KESWICK AVE # B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

230 N Keswick Ave # B

Glenside, PA 190384804

Telephone 2158854252
Associated Practice Facility / Clinic
🏢 Dynamic Modern Dentistry Facility NPI 1578714812

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Glenside, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
11 Specialists

Practicing in Glenside, PA (4936 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-12-07
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License PA DS041810

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pa State License
DS041810 (PA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Barry Darocha , DMD, MAGD

Dentist - General Practice

NPI 1033160486

Doctor of Dental Medicine, MAGD

Dr. David Pyle , DMD

Dentist - General Practice

NPI 1043740897

Doctor of Dental Medicine

Dr. Susan Rotzal , DMD, MAGD

Dentist - General Practice

NPI 1548211063

Doctor of Dental Medicine, MAGD

Dr. Paul Rotzal , DMD

Dentist - General Practice

NPI 1619662574

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Business Mailing Address December 07, 2022

Registered at 230 N KESWICK AVE, GLENSIDE, PA 190384804 (Tel: 2158854252)

📍
Updated Practice Location January 17, 2022

Registered at 230 N KESWICK AVE # B, GLENSIDE, PA 190384804 (Tel: 2158854252)

📍
Updated Business Mailing Address January 17, 2022

Registered at 15 GREAT HILLS RD, NEW HOPE, PA 189389283 (Tel: 6109969180)

📍
Updated Practice Location July 11, 2019

Registered at 4143 WASHINGTON RD, MC MURRAY, PA 153172522 (Tel: 7249690987)

📍
Updated Business Mailing Address July 11, 2019

Registered at 4143 WASHINGTON RD, MC MURRAY, PA 153172522

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2019

Dentist (License #DS041810 in PA)

NPI Profile Active April 12, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 12, 2018

Registered at 203 LOTHROP ST STE 214, PITTSBURGH, PA 152132548 (Tel: 2672892718)

📍
Updated Business Mailing Address April 12, 2018

Registered at 3600 FORBES AVENUE, FORBES TOWER - PLAZA LEVEL SUITE 140, PITTSBURGH, PA 15213

👤
Provider Name / Credentials Updated April 12, 2018

Recorded as CALVIN LIN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 12, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508363870
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2018
Last Update: December 07, 2022
Sole Proprietor: No

Mailing Address

230 N Keswick Ave

Glenside, PA 190384804

Phone: 2158854252

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.