Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Vivek Bandela

Individual provider Dental Assistant · NPI 1568390458

Charles Vivek Bandela is a Dental Assistant in Shamokin Dam, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2026.

Licensed in
PA
In the registry since
2026

Practice location Address checks out

30 Baldwin Blvd Ste 95
Shamokin Dam, PA 17876-9520
Phone: (267) 809-2364
Fax: (570) 256-1772
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X (PA)

Record details

NPI number1568390458
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 11, 2026
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026

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