Organization Active NPI

Allied Dental Group

  • Oral and Maxillofacial Pathology Dentistry
  • Slippery Rock, PA
National Provider Identifier
1124171632
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
Legal business name
ALLIED DENTAL GROUP
Practice address
234 South Main Street
Slippery Rock, PA 16057
Phone
(724) 794-2224
Fax
(724) 794-2225
NPI assigned
Jan 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Joseph G. Defrancesco, D.M.D.
Title
Owner
Phone
(724) 794-2224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0106X Primary

Addresses

Primary practice location

234 South Main Street
Slippery Rock, PA 16057

Mailing address

234 Sout Main Street
Slippery Rock, PA 16057
Phone (724) 794-2224

National Provider Directory

National Provider Directory

Locations

234 S Main St
Slippery Rock, PA 16057
Phone (724) 794-2224

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124171632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 SOUT MAIN STREET",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "16057",
            "telephone_number": "724-794-2224",
            "fax_number": "724-794-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 SOUTH MAIN STREET",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "16057",
            "telephone_number": "724-794-2224",
            "fax_number": "724-794-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEFRANCESCO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-794-2224",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slippery Rock, 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.