Active NPI
Dilip N Dudhat, DMD
- General Practice Dentistry
- Colmar, PA
National Provider Identifier
1124033774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 029728
- Practice address
- 2406 N Broad St
Colmar, PA 18915-9701 - Phone
- (215) 997-2300
- Fax
- (215) 997-0227
- NPI assigned
- Jul 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 029728 | PA | Primary |
Addresses
Primary practice location
2406 N Broad St
Colmar, PA 18915-9701
Mailing address
2406 N Broad St
Colmar, PA 18915-9701
Phone (215) 997-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029728 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced & Comfort Dentistry | General Practice | Current | Accepting new patients |
| Dilip N Dudhat, DMD,PC | General Practice | Past | Accepting new patients |
| Advanced Dentistry of Main Line PC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1518583418
-
- General Practice Dentistry
- Whitehall, PA
- NPI 1649429598
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282780800000",
"number": "1124033774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2406 N BROAD ST",
"city": "COLMAR",
"state": "PA",
"postal_code": "189159701",
"telephone_number": "215-997-2300",
"fax_number": "215-997-0227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2406 N BROAD ST",
"city": "COLMAR",
"state": "PA",
"postal_code": "189159701",
"telephone_number": "215-997-2300",
"fax_number": "215-997-0227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDHAT",
"first_name": "DILIP",
"middle_name": "N",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-30",
"last_updated": "2010-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "029728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colmar, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.