Merion Dental Group Dba Merion Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MERION DENTAL GROUP DBA MERION FAMILY DENTISTRY

Practice address

352 Montgomery Ave
Merion Station, PA 19066-1202

Phone

(484) 278-4441

NPI assigned

Sep 5, 2022

Last updated

Sep 5, 2022By 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. Andrew M Rosen, DMDNPI 1669528832

Title

Owner

Phone

(610) 565-5077

Specialties & licenses 1

Addresses

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.

• Andrew M Rosen, D.M.D.

  • General Practice Dentistry
  • Media, PA
  • NPI 1669528832
  Authorized official Same address or phone

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662336000000",
    "number": "1114648565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 MONTGOMERY AVE",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661202",
            "telephone_number": "484-278-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 MONTGOMERY AVE",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661202",
            "telephone_number": "484-278-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERION DENTAL GROUP DBA MERION FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-565-5077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Patricia Niemtzow, M.S. CCC-SLP

• General Practice Dentistry in Merion Station, PA
• Providers in Merion Station, 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 Sep 5, 2022; 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.