Bioesthetic Dentistry, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DSO27317L Issued in PA

Legal business name

BIOESTHETIC DENTISTRY, INC

Practice address

227 W Lancaster Ave
Suite 201
Devon, PA 19333-1555

Phone

(610) 688-4100

Fax

(610) 995-0501

NPI assigned

May 24, 2006

Last updated

Aug 22, 2020By 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

Dr. Michael V Brogna, DMD,FAGD

Title

Owner

Phone

(610) 688-4100

Specialties & licenses 1

Addresses

Tax ID family

Bensalem Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bensalem Dental Group

  • Dentist
  • Bensalem, PA
  • NPI 1801110812
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ericka Klein Freemann, DMD

  • General Practice Dentistry
  • Devon, PA
  • NPI 1457569824
  NPD (past)
• Jamie E Lowstetter, DMD

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1497240790
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013962323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 W LANCASTER AVE",
            "address_2": "SUITE 201",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193331555",
            "telephone_number": "610-688-4100",
            "fax_number": "610-995-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 W LANCASTER AVE",
            "address_2": "SUITE 201",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193331555",
            "telephone_number": "610-688-4100",
            "fax_number": "610-995-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOESTHETIC DENTISTRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROGNA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-688-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD,FAGD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DSO27317L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard H Berman, D.M.D.
• Dana Berstein, MSS, LSW
• Layla Bey
• Kristin Biggs, RN,BSN
• Carissa Binello, RN
• Cherylyn K Black, M.D.
• Lauren Bleiler, OT
• Cristina Bonfiglio, LPN
• Kellie H Booth, CRNP
• Christy Bosler, PA-C

• General Practice Dentistry in Devon, PA
• Providers in Devon, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.