Quakertown Periodontal Associates

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DS017728L Issued in PA

Legal business name

QUAKERTOWN PERIODONTAL ASSOCIATES

Practice address

1402 W Broad St
Quakertown, PA 18951-1110

Phone

(215) 538-0551

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Dordick, DDS

Title

Pres

Phone

(215) 538-0551

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184643389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 W BROAD ST",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511110",
            "telephone_number": "215-538-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 W BROAD ST",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511110",
            "telephone_number": "215-538-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAKERTOWN PERIODONTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DORDICK",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "215-538-0551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS017728L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quakertown Internal Medicine Associates, Inc.
• Quakertown Orthopaedic Associates
• Quakertown Pain & Rehab Center
• Quakertown Pediatric Associates PC
• Quakertown Perio-Implant, Inc
• Quakertown Rehabilitation Center
• Quakertown Wellness Center
• Farooq A Qureshi, MD
• Scott Keith Rader III, CRNP
• Deborah Ramanathan, MD

• Periodontics in Quakertown, PA
• Providers in Quakertown, PA by specialty
• Periodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.