Geneva Dental Care

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DS029793L Issued in PA

Legal business name

GENEVA DENTAL CARE

Practice address

254 S Easton Rd
Glenside, PA 19038-3901

Phone

(215) 887-7788

Fax

(215) 887-7484

NPI assigned

May 13, 2013

Last updated

May 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ginnene Matzulis, MS

Title

Office Manager

Phone

(215) 887-7788

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Junaid K. Chaudhry, D.M.D.

  • Dentist
  • Glenside, PA
  • NPI 1487828299
  NPD (past)
• Mamdouh Omar Kachlan, DMD, MS, FACP

  • Prosthodontics
  • Sarasota, FL
  • NPI 1780390914
  NPD (past)
• Aakash Chamu Mudaliar, BDS, MHA, DMD, FICOI

  • General Practice Dentistry
  • Waldorf, MD
  • NPI 1366964884
  NPD (past)

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1184060501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 S EASTON RD",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190383901",
            "telephone_number": "215-887-7788",
            "fax_number": "215-887-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 S EASTON RD",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190383901",
            "telephone_number": "215-887-7788",
            "fax_number": "215-887-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEVA DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "MATZULIS",
        "authorized_official_first_name": "GINNENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-887-7788",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS029793L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elijah Natia Frazier-Jackson
• Erinn Frisch
• Future Freedom Care, LLC (Amada Senior Care Montgomery County)
• Suzi Garrett, IBCLC
• Gary M Gordon DPM PC
• Taniek Gentles, LMFT
• Sarah Gentry, LCSW
• Geriatric & Medical Services, Inc. (Fairview Care Center of Paper Mill Road)
• Rochelle Ilene Gillis, MA,LPC
• John W Gilmore, LMT

• Dental Clinic/Center in Glenside, PA
• Providers in Glenside, 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 May 13, 2013; 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.