Dental Reflections of West Chester LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS021945L Issued in PA

Legal business name

DENTAL REFLECTIONS OF WEST CHESTER LLC

Practice address

1580 McDaniel Dr
West Chester, PA 19380-6673

Phone

(610) 431-3310

Fax

(610) 430-3806

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Joseph Supczenski, DDSNPI 1538159934

Title

Partner

Phone

(610) 431-3310

Specialties & licenses 1

Addresses

Practitioners 1

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

• John Joseph Supczenski, D.D.S.

  • General Practice Dentistry
  • West Chester, PA
  • NPI 1538159934
  NPD (past) Authorized official

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063633980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 MCDANIEL DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806673",
            "telephone_number": "610-431-3310",
            "fax_number": "610-430-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 MCDANIEL DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806673",
            "telephone_number": "610-431-3310",
            "fax_number": "610-430-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL REFLECTIONS OF WEST CHESTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUPCZENSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "610-431-3310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS021945L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Dempsey, PA-C
• Arianna Denison
• Rebecca Jane Denneny, MACCC
• Laura Dennin, CRNP
• Jacqueline Michelle Denning, PT, DPT
• Claire L Dente, PH.D., M.S.W., LCSW
• Stephen Louis Depaol
• Roxanne Depaul, PH.D.
• Pragnesh Desai, RPH
• Desimone Enterprises, LLC

• General Practice Dentistry in West Chester, PA
• Providers in West Chester, 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 Aug 22, 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.