Aldan Family Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ALDAN FAMILY DENTAL PC

Practice address

523 N Oak Ave
Aldan, PA 19018-3032

Phone

(215) 425-3101

Fax

(215) 425-3117

NPI assigned

Sep 22, 2010

Last updated

Jun 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Rubinson

Title

Controller

Phone

(732) 616-0292

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1013225176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 HOOPER AVE",
            "address_2": "SUITE 201 B",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538361",
            "telephone_number": "732-914-1039",
            "fax_number": "732-914-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 N OAK AVE",
            "city": "ALDAN",
            "state": "PA",
            "postal_code": "190183032",
            "telephone_number": "215-425-3101",
            "fax_number": "215-425-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDAN FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "RUBINSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "732-616-0292"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.