Organization Active NPI

American Dental Health,PC

Doing business as United Dental Care

  • Dentist
  • Upper Darby, PA
National Provider Identifier
1053780585
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS020408-L Issued in PA
Legal business name
AMERICAN DENTAL HEALTH,PC
Doing business as
United Dental Care
Practice address
6784 Market St
Upper Darby, PA 19082-2431
Phone
(484) 462-0171
Fax
(215) 646-1005
NPI assigned
Sep 15, 2015
Last updated
Sep 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Authorized official

Name
Dr. Prafulchandra G Patel, DDS
Title
Ceo
Phone
(267) 221-6070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS020408-L PA Primary

Addresses

Primary practice location

6784 Market St
Upper Darby, PA 19082-2431

Mailing address

6784 Market Strret
Upper Darby, PA 19082
Phone (484) 462-0171

Other names 1

  • UNITED DENTAL CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
American Dental Health PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1053780585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6784 MARKET STRRET",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "19082",
            "telephone_number": "484-462-0171",
            "fax_number": "215-646-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6784 MARKET ST",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822431",
            "telephone_number": "484-462-0171",
            "fax_number": "215-646-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN DENTAL HEALTH,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRAFULCHANDRA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-221-6070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS020408-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNITED DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upper Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.