NPIMap

Organization Active NPI

Pottstown Dental Professionals LLC

  • Dentist
  • Pottstown, PA
National Provider Identifier
1124126891
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS028302L Issued in PA
Legal business name
POTTSTOWN DENTAL PROFESSIONALS LLC
Practice address
933 N Charlotte St
Suite 2D
Pottstown, PA 19464
Phone
(610) 326-8785
Fax
(610) 326-7043
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Louis Sansone, DDSNPI 1811905664
Title
Owner President
Phone
(610) 326-8785

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DS028302L PA Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DX020446R PA

Addresses

Primary practice location

933 N Charlotte St
Suite 2D
Pottstown, PA 19464

Mailing address

933 N Charlotte St
Suite 2D
Pottstown, PA 19464
Phone (610) 326-8785

National Provider Directory

National Provider Directory

Locations

933 N Charlotte St
Ste 2D
Pottstown, PA 19464
Phone (610) 326-8785

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124126891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 N CHARLOTTE ST",
            "address_2": "SUITE 2D",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "19464",
            "telephone_number": "610-326-8785",
            "fax_number": "610-326-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 N CHARLOTTE ST",
            "address_2": "SUITE 2D",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "19464",
            "telephone_number": "610-326-8785",
            "fax_number": "610-326-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTTSTOWN DENTAL PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANSONE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "610-326-8785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS028302L",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DX020446R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.