NPIMap

Organization Active NPI

Pennsylvania Dental Partners, LLC

  • General Practice Dentistry
  • Lancaster, PA
National Provider Identifier
1184035958
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PENNSYLVANIA DENTAL PARTNERS, LLC
Practice address
600A Eden Rd
Lancaster, PA 17601-4205
Phone
(717) 283-1990
Fax
(717) 283-1989
NPI assigned
May 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Mr. Scott Crews
Title
Chief Operation Officer
Phone
(717) 283-1991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X PA Primary

Addresses

Primary practice location

600A Eden Rd
Lancaster, PA 17601-4205

Mailing address

600A Eden Rd
Lancaster, PA 17601-4205
Phone (717) 283-1990

National Provider Directory

National Provider Directory

Locations

600H Eden Rd
Lancaster, PA 17601
Phone (717) 397-1400

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1184035958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600A EDEN RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014205",
            "telephone_number": "717-283-1990",
            "fax_number": "717-283-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600A EDEN RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014205",
            "telephone_number": "717-283-1990",
            "fax_number": "717-283-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA DENTAL PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "CREWS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF OPERATION OFFICER",
        "authorized_official_telephone_number": "717-283-1991",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.