Organization Active NPI

Bryn Mawr Periodontal Associates, LTD.

  • Periodontics
  • Bryn Mawr, PA
National Provider Identifier
1063634244
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DS019952-L Issued in PA
Legal business name
BRYN MAWR PERIODONTAL ASSOCIATES, LTD.
Practice address
1201 County Line Rd
Suite 201
Bryn Mawr, PA 19010-2636
Phone
(610) 525-8485
NPI assigned
May 3, 2007
Last updated
Jul 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Authorized official

Name
Dr. Edward L. Woehling, D.D.S.NPI 1124249750
Title
Owner
Phone
(610) 525-8485

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DS019952-L PA Primary

Addresses

Primary practice location

1201 County Line Rd
Suite 201
Bryn Mawr, PA 19010-2636

Mailing address

1201 County Line Rd
Suite 201
Bryn Mawr, PA 19010-2636
Phone (610) 525-8485

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1063634244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 COUNTY LINE RD",
            "address_2": "SUITE 201",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102636",
            "telephone_number": "610-525-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 COUNTY LINE RD",
            "address_2": "SUITE 201",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102636",
            "telephone_number": "610-525-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYN MAWR PERIODONTAL ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "WOEHLING",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-525-8485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS019952-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.