Organization Active NPI

Montco Dental Associates, PLLC

  • Dentist
  • Abington, PA
National Provider Identifier
1023657061
Registry record updated Dec 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MONTCO DENTAL ASSOCIATES, PLLC
Practice address
1919 Susquehanna Rd
Abington, PA 19001-4513
Phone
(215) 884-3477
Fax
(215) 884-6638
NPI assigned
Dec 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2019

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

Authorized official

Name
Douglas Greenfield
Title
Compliance Officer
Phone
(215) 884-3477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1919 Susquehanna Rd
Abington, PA 19001-4513

Mailing address

330 Middletown Blvd Ste 401
Langhorne, PA 19047-3204
Phone (215) 884-3477

National Provider Directory

National Provider Directory

Locations

1919 Susquehanna Rd
Abington, PA 19001
Phone (215) 884-3477

Practitioners & affiliated clinicians

Practitioners 2

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": "1576886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576886400000",
    "number": "1023657061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MIDDLETOWN BLVD STE 401",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190473204",
            "telephone_number": "215-884-3477",
            "fax_number": "215-884-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 SUSQUEHANNA RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190014513",
            "telephone_number": "215-884-3477",
            "fax_number": "215-884-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCO DENTAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-21",
        "last_updated": "2019-12-21",
        "certification_date": "2019-12-21",
        "status": "A",
        "authorized_official_last_name": "GREENFIELD",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "215-884-3477"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2019; 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.