East Falls Family Dentistry,LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DS037181 Issued in PA

Legal business name

EAST FALLS FAMILY DENTISTRY,LLC

Practice address

306 Glenn Rose Blvd
King of Prussia, PA 19406-5700

Phone

(610) 425-7170

NPI assigned

Sep 9, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Hyosun Kim, D.M.D

Title

Member

Phone

(610) 425-7170

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1174804769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 SUNNYSIDE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291628",
            "telephone_number": "215-849-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 GLENN ROSE BLVD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194065700",
            "telephone_number": "610-425-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST FALLS FAMILY DENTISTRY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYOSUN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "610-425-7170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS037181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.