Franford Ave Dental Group LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DS038385 Issued in PA

Legal business name

FRANFORD AVE DENTAL GROUP LLC

Practice address

7538 Frankford Ave
Philadelphia, PA 19136-3533

Phone

(215) 333-4744

NPI assigned

Nov 9, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Shanti Kidambi

Title

Manager

Phone

(610) 876-3300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Anvarali Mohammadh, DMD

  • Dentist
  • Brookhaven, PA
  • NPI 1750693024
  NPD
• Roy E Brahen, DDS

  • Dentist
  • Philadelphia, PA
  • NPI 1679620975
  NPD (past)

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1033622261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7538 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191363533",
            "telephone_number": "215-333-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7538 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191363533",
            "telephone_number": "215-333-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANFORD AVE DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "KIDAMBI",
        "authorized_official_first_name": "SHANTI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "610-876-3300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS038385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DS038385",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conall Francoeur, MD
• Judy Archnie Francois, AGACNP-BC
• Kemberly Francois
• George C. Francos
• Maura Franey, PA-C, MPH
• Frank D. Caporusso, MD, PC
• Frank J. McCaffery IV,D.C.,P.C.
• Frank L. Tomaka, MD
• Frank M Mazzotta DO PC
• Adam M. Frank, M.D.

• Dental Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.