Pmak Children's Dental, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS038628 Issued in PA

Legal business name

PMAK CHILDREN'S DENTAL, LLC

Doing business as

Pediatric Dentistry

Practice address

1517 Pond Rd
Suite 201
Allentown, PA 18104-2253

Phone

(610) 395-4800

Fax

(610) 395-7080

NPI assigned

Nov 15, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Phillip Knight Brinton, D.D.S.NPI 1780977546

Title

Owner

Phone

(646) 592-2320

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pediatric Dentistry Doing business as

Locations

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.

• Phillip Knight Brinton, D.D.S.

  • Pediatric Dentistry
  • Allentown, PA
  • NPI 1780977546
  Authorized official Same address or phone

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1093145872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 POND RD",
            "address_2": "SUITE 201",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042253",
            "telephone_number": "610-395-4800",
            "fax_number": "610-395-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 POND RD",
            "address_2": "SUITE 201",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042253",
            "telephone_number": "610-395-4800",
            "fax_number": "610-395-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMAK CHILDREN'S DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "BRINTON",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "KNIGHT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-592-2320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS038628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025976520008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Planned Parenthood Keystone
• Michael Platt, LSW
• Lisa Marie Platz, PA-C
• Erika Plogstedt, MD
• Kristin Anne Plunkett, FNP-C
• PMD Healthcare, Inc.
• Pocono Foot & Ankle Consultants, P.C.
• Imani Pointer, RBT
• Abena Poku, DO
• Miriam G Polanco, MA

• Pediatric Dentistry in Allentown, PA
• Providers in Allentown, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.