OrganizationActive
Cda Lake Winola LLC
NPI 1104491653 · General Practice Dentistry · Factoryville, PA
Cda Lake Winola LLC is a General Practice Dentistry organization in Factoryville, PA (NPI 1104491653).
Provider details
- NPI number
- 1104491653
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Cda Lake Winola LLC
- Organization subpart
- Yes
- Authorized official
- Jason Hanyon, Owner(570) 378-3305
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1220 PA-307
Factoryville, PA 18419
Phone: (570) 378-3305
Fax: (570) 378-3430
Street-level locationGet directions
Mailing address
1220 PA-307
Factoryville, PA 18419
Other names (DBA / former)
- Doing business as
- Century Dental Lake Winola
Registry dates
- Enumerated
- 2021-05-26
- Last updated
- 2021-05-26
- Certified
- 2021-05-13
Frequently asked questions
- What is Cda Lake Winola LLC's NPI number?
- Cda Lake Winola LLC's National Provider Identifier (NPI) is 1104491653, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cda Lake Winola LLC?
- Cda Lake Winola LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Cda Lake Winola LLC located?
- Cda Lake Winola LLC's practice location on file with NPPES is 1220 PA-307, Factoryville, PA 18419.
- What is Cda Lake Winola LLC's phone number?
- The practice phone number listed in the NPPES registry for Cda Lake Winola LLC is (570) 378-3305.
- Who is the authorized official for Cda Lake Winola LLC?
- The authorized official listed on Cda Lake Winola LLC's NPPES record is Jason Hanyon, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cda Lake Winola LLC's NPI active?
- Yes — Cda Lake Winola LLC's NPI (1104491653) is active in the NPPES registry as of the last update on 2021-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.