NPIMap

Organization Active NPI

Dentist of Paoli Inc

  • Dental Clinic/Center
  • Paoli, PA
National Provider Identifier
1003529959
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTIST OF PAOLI INC
Practice address
63 Chestnut Rd Ste B
Paoli, PA 19301-1535
Phone
(610) 889-8896
Fax
(610) 889-8897
NPI assigned
Jan 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rutika AgrawalNPI 1255758348
Title
President
Phone
(610) 889-8896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

63 Chestnut Rd Ste B
Paoli, PA 19301-1535

Mailing address

63 Chestnut Rd Ste B
Paoli, PA 19301-1535
Phone (610) 889-8896

National Provider Directory

National Provider Directory

Locations

63 Chestnut Rd
Ste B
Paoli, PA 19301
Phone (610) 889-8896

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1003529959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 CHESTNUT RD STE B",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011535",
            "telephone_number": "610-889-8896",
            "fax_number": "610-889-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 CHESTNUT RD STE B",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011535",
            "telephone_number": "610-889-8896",
            "fax_number": "610-889-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTIST OF PAOLI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "AGRAWAL",
        "authorized_official_first_name": "RUTIKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-889-8896"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.