NPIMap

Organization Active NPI

Pennsylvania Dental Partners Specialty

  • Periodontics
  • Lancaster, PA
National Provider Identifier
1083038848
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
PENNSYLVANIA DENTAL PARTNERS SPECIALTY
Practice address
600A Eden Rd
Lancaster, PA 17601-4205
Phone
(330) 951-9153
Fax
(888) 817-9032
NPI assigned
Feb 13, 2014
Organization subpart
Yes
Parent organization
PENNSYLVANIA DENTAL PARTNERS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Authorized official

Name
Dr. Thomas P Dudas Jr., DMD
Title
Presiden
Phone
(717) 656-3051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X PA Primary

Addresses

Primary practice location

600A Eden Rd
Lancaster, PA 17601-4205

Mailing address

600A Eden Rd
Lancaster, PA 17601-4205
Phone (330) 951-9153

National Provider Directory

National Provider Directory
Part of
Pennsylvania Dental Partners LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1083038848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600A EDEN RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014205",
            "telephone_number": "330-951-9153",
            "fax_number": "888-817-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600A EDEN RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014205",
            "telephone_number": "330-951-9153",
            "fax_number": "888-817-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA DENTAL PARTNERS SPECIALTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENNSYLVANIA DENTAL PARTNERS, LLC",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "DUDAS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDEN",
        "authorized_official_telephone_number": "717-656-3051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.