Organization Active NPI

Electric City Dental Group

Doing business as Forest City Dental

  • General Practice Dentistry
  • Forest City, PA
National Provider Identifier
1093048217
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS035200 Issued in PA
Legal business name
ELECTRIC CITY DENTAL GROUP
Doing business as
Forest City Dental
Practice address
117 Main St
Forest City, PA 18421-1440
Phone
(570) 785-3000
Fax
(570) 785-3175
NPI assigned
Sep 8, 2009
Last updated
Sep 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Authorized official

Name
Richard A Hartland II, DMDNPI 1154539427
Title
President
Phone
(570) 383-0784

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS035200 PA Primary

Addresses

Primary practice location

117 Main St
Forest City, PA 18421-1440

Mailing address

305 School Side Dr
Throop, PA 18512-1456
Phone (570) 383-0784

Other names 1

  • Forest City Dental Doing business as

National Provider Directory

National Provider Directory

Locations

117 Main St
Forest City, PA 18421
Phone (570) 785-3000

Practitioners & affiliated clinicians

Practitioners 2

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": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1093048217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 SCHOOL SIDE DR",
            "city": "THROOP",
            "state": "PA",
            "postal_code": "185121456",
            "telephone_number": "570-383-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MAIN ST",
            "city": "FOREST CITY",
            "state": "PA",
            "postal_code": "184211440",
            "telephone_number": "570-785-3000",
            "fax_number": "570-785-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTRIC CITY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "HARTLAND",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-383-0784",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest City Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forest City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.