Organization Active NPI

Gwynedd Family Dentistry PC

  • Dental Clinic/Center
  • Ambler, PA
National Provider Identifier
1154189124
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GWYNEDD FAMILY DENTISTRY PC
Practice address
921 N Bethlehem Pike
Ambler, PA 19002-1306
Phone
(215) 646-4767
NPI assigned
Mar 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
Ronak Patel
Title
Managing Member
Phone
(562) 547-2340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

921 N Bethlehem Pike
Ambler, PA 19002-1306

Mailing address

921 N Bethlehem Pike
Ambler, PA 19002-1306

National Provider Directory

National Provider Directory

Locations

921 N Bethlehem Pike
Lower Gwynedd, PA 19002
Phone (215) 646-4767

NPI Registry JSON

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1154189124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 N BETHLEHEM PIKE",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190021306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 N BETHLEHEM PIKE",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190021306",
            "telephone_number": "215-646-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWYNEDD FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RONAK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "562-547-2340"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ambler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.