Organization Active NPI

Forest Hills Dental Associates PC

  • General Practice Dentistry
  • Harrisburg, PA
National Provider Identifier
1194809483
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS028092L Issued in PA
Legal business name
FOREST HILLS DENTAL ASSOCIATES PC
Practice address
2247 Forest Hills Dr
Harrisburg, PA 17112-1062
Phone
(717) 545-2232
NPI assigned
Oct 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brett Dormer, DDSNPI 1275613036
Title
Secretary
Phone
(717) 545-2232

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS028092L PA Primary

Addresses

Primary practice location

2247 Forest Hills Dr
Harrisburg, PA 17112-1062

Mailing address

2247 Forest Hills Dr
Harrisburg, PA 17112-1062
Phone (717) 545-2232

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194809483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 FOREST HILLS DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121062",
            "telephone_number": "717-545-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 FOREST HILLS DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121062",
            "telephone_number": "717-545-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST HILLS DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DORMER",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "717-545-2232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS028092L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • 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.