Image Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS037476 Issued in PA

Legal business name

IMAGE DENTAL PC

Practice address

600 E Township Line Road
First Floor
Havertown, PA 19083

Phone

(610) 789-0888

NPI assigned

Aug 29, 2012

Organization subpart

No

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

Authorized official

Name

Yuling He, D.M.D.

Title

Owner

Phone

(610) 789-0888

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1083963672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E TOWNSHIP LINE ROAD",
            "address_2": "FIRST FLOOR",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "19083",
            "telephone_number": "610-789-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E TOWNSHIP LINE ROAD",
            "address_2": "FIRST FLOOR",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "19083",
            "telephone_number": "610-789-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "HE",
        "authorized_official_first_name": "YULING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-789-0888",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen M Humbert, DO
• Charles Hurwitz, DO
• Joseph Hyun, MPT
• Ifraj Ibrahim-Allen Kerr
• Ahmed Ibrahim Radwan Ibrahim, RPH
• Imaging Professionals of Pennsylvania PC
• Allegra M Inciardi, OD
• Teresa Ingram
• Insight Pharmaceutical LLC
• Insight Pharmaceutical Solutions LLC

• General Practice Dentistry in Havertown, PA
• Providers in Havertown, 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 29, 2012; 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.