Chestnut Hill Dental, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS021970L Issued in PA

Legal business name

CHESTNUT HILL DENTAL, INC.

Practice address

2 E Chestnut Hill Ave
Philadelphia, PA 19118-2715

Phone

(215) 242-6404

Fax

(215) 242-4907

NPI assigned

Dec 22, 2010

Last updated

Dec 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robin F. Gallagher, D.M.DNPI 1679690085

Title

Owner

Phone

(215) 242-6404

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, and the practitioner matching its NPPES authorized official.

• Robin F Gallagher, D.M.D.

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1679690085
  NPD (past) Authorized official

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1063716611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E CHESTNUT HILL AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182715",
            "telephone_number": "215-242-6404",
            "fax_number": "215-242-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E CHESTNUT HILL AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182715",
            "telephone_number": "215-242-6404",
            "fax_number": "215-242-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTNUT HILL DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-242-6404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS021970L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chestnut Hill Clinic Company, LLC (Telemedicine Chestnut Hill Tower Health Medical Group)
• Chestnut Hill Clinic Company, LLC (Behavioral Health Chestnut Hill Ave Tower Health Medical Group)
• Chestnut Hill Clinic Company, LLC (Sports Medicine Chestnut Hill Manayunk THMG)
• Chestnut Hill Clinic Company, LLC (Family Medicine Chestnut Hill Manayunk THMG)
• Chestnut Hill Dental Care (chestnut hill smiles)
• Chestnut Hill Emergency Associates LTD
• Chestnut Hill Eye Associates, Inc
• Chestnut Hill Hospital, LLC (Chestnut Hill Hospital)
• Chestnut Hill Hospital, LLC (Chestnut Hill Hospital)
• Chestnut Hill Hospital, LLC (Chestnut Hill Hospital)

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, 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 Dec 22, 2010; 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.