Montgomery Emergency Dentist LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MONTGOMERY EMERGENCY DENTIST LLC

Doing business as

Montgomery Emergency Dentist LLC

Practice address

396 Doylestown Rd
Montgomeryville, PA 18936-9609

Phone

(215) 475-5140

Fax

(215) 475-5245

NPI assigned

Jan 2, 2020

Organization subpart

No

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

Authorized official

Name

Nick Sharkov

Title

Manager

Phone

(215) 475-5140

Specialties & licenses 1

Addresses

Other names 1

• MONTGOMERY EMERGENCY DENTIST LLC Doing business as

Locations

Practitioners 1

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.

• Michael Belder, DDS

  • General Practice Dentistry
  • Southampton, PA
  • NPI 1356438048
  NPD

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1053950444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 DOYLESTOWN RD",
            "city": "MONTGOMERYVILLE",
            "state": "PA",
            "postal_code": "189369609",
            "telephone_number": "121-547-5514",
            "fax_number": "215-475-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 DOYLESTOWN RD",
            "city": "MONTGOMERYVILLE",
            "state": "PA",
            "postal_code": "189369609",
            "telephone_number": "215-475-5140",
            "fax_number": "215-475-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY EMERGENCY DENTIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "SHARKOV",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "215-475-5140"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MONTGOMERY EMERGENCY DENTIST LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kellie-Marie McGuckin, MSW
• Med Supply Cabinet, Inc (LymphaCare)
• Sara Miller, LCSW
• Joshua Arthur Millman, LCSW
• Marta Molak
• Hee Ryung Moon, AK
• Kaitlyn Christina Moore, NP
• Fawn Moyer, LPC
• Christine Mumbauer, MS, LPC
• Patricia Ann Myers

• General Practice Dentistry in Montgomeryville, PA
• Providers in Montgomeryville, 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 Jan 2, 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.