NPIMap

Organization Active NPI

Merion Dental Group Dba Merion Family Dentistry

  • General Practice Dentistry
  • Merion Station, PA
National Provider Identifier
1114648565
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

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

Authorized official

Name
Dr. Andrew M Rosen, DMD
Title
Owner
Phone
(610) 565-5077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

352 Montgomery Ave
Merion Station, PA 19066-1202

Mailing address

352 Montgomery Ave
Merion Station, PA 19066-1202
Phone (484) 278-4441

National Provider Directory

National Provider Directory

Locations

352 Montgomery Ave
Merion Station, PA 19066
Phone (484) 278-4441

NPI Registry JSON

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": []
}

Other providers in Merion Station, PA

Sources for this page

  • 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.