Skylaserdental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SKYLASERDENTAL

Doing business as

Skylaserdental, Inc.

Practice address

2344 Philmont Ave
Huntingdon Valley, PA 19006-6228

Phone

(267) 571-2483

NPI assigned

Sep 18, 2019

Organization subpart

No

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

Authorized official

Name

Lyusya R Badishyan, DMD

Title

President

Phone

(267) 571-2483

Specialties & licenses 1

Addresses

Other names 1

• Skylaserdental, Inc. Doing business as

Locations

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1053961359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2344 PHILMONT AVE",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 PHILMONT AVE",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066228",
            "telephone_number": "267-571-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLASERDENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "BADISHYAN",
        "authorized_official_first_name": "LYUSYA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-571-2483",
        "authorized_official_credential": "DMD"
    },
    "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": "Skylaserdental, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristyn Simon
• Gurcharan Singh, M.D.
• Savita Singh, M.D.
• Jennifer L Sipe, CRNP
• Sky Medical Transport Inc
• Micaela L Small
• Susan Smallow, LCSW
• Smile Culture Dental PC
• Mary Pat Smith
• Janet Snellenburg-Kline, LCSW

• General Practice Dentistry in Huntingdon Valley, PA
• Providers in Huntingdon Valley, 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 Sep 18, 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.