Active NPI
Jake M Dorfman DMD PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Southampton, PA
National Provider Identifier
1184275299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- JAKE M DORFMAN DMD PLLC
- Practice address
- 345 Knowles Ave Ste 7
Southampton, PA 18966-4191 - Phone
- (215) 917-6690
- NPI assigned
- Sep 20, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jake Dorfman, DMD
- Title
- Owner
- Phone
- (215) 917-6690
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
345 Knowles Ave Ste 7
Southampton, PA 18966-4191
Mailing address
155 Gleniffer Hill Rd
Richboro, PA 18954-1368
National Provider Directory
National Provider DirectoryLocations
345 Knowles Ave
Ste 7
Southampton, PA 18966
Phone (215) 917-6690
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bethlehem, PA
- NPI 1467989921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568937600000",
"number": "1184275299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 GLENIFFER HILL RD",
"city": "RICHBORO",
"state": "PA",
"postal_code": "189541368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 KNOWLES AVE STE 7",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189664191",
"telephone_number": "215-917-6690"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAKE M DORFMAN DMD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-20",
"last_updated": "2019-09-20",
"status": "A",
"authorized_official_last_name": "DORFMAN",
"authorized_official_first_name": "JAKE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-917-6690",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southampton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.