NPIMap

Organization Active NPI

Town Dental PC

Doing business as Mayfair Dental Center

  • Dental Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1043807522
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TOWN DENTAL PC
Doing business as
Mayfair Dental Center
Practice address
6412 Frankford Ave Unit 10
Philadelphia, PA 19135-3005
Phone
(215) 333-8100
Fax
(215) 333-8111
NPI assigned
Dec 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Authorized official

Name
Oleg Amayev, DDS
Title
Owner
Phone
(215) 333-8100

Specialties & licenses 1

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

Addresses

Primary practice location

6412 Frankford Ave Unit 10
Philadelphia, PA 19135-3005

Mailing address

6412 Frankford Ave Unit 10
Philadelphia, PA 19135-3005
Phone (215) 333-8100

Other names 1

  • Mayfair Dental Center Doing business as

National Provider Directory

National Provider Directory

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": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1043807522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6412 FRANKFORD AVE UNIT 10",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191353005",
            "telephone_number": "215-333-8100",
            "fax_number": "215-333-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6412 FRANKFORD AVE UNIT 10",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191353005",
            "telephone_number": "215-333-8100",
            "fax_number": "215-333-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "AMAYEV",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-333-8100",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mayfair Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.