Keith L. Dunoff, DMD, PC

Primary specialty

DentistTaxonomy code 122300000X

License

DS024382L Issued in PA

Legal business name

KEITH L. DUNOFF, DMD, PC

Practice address

413 Germantown Pike
Suite 200
Lafayette Hill, PA 19444-1816

Phone

(610) 825-8210

Fax

(610) 825-8208

NPI assigned

Dec 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Keith Lawrence Dunoff, D.M.D.

Title

President

Phone

(610) 825-8210

Specialties & licenses 1

Addresses

Other names 1

• Diversified Dental Services Doing business as

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194884932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 N ROUTE 73",
            "address_2": "SUITE 4 WINSLOW PROFESSIONAL BUILDING",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080099707",
            "telephone_number": "856-753-1547",
            "fax_number": "856-753-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 GERMANTOWN PIKE",
            "address_2": "SUITE 200",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441816",
            "telephone_number": "610-825-8210",
            "fax_number": "610-825-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH L. DUNOFF, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNOFF",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-825-8210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS024382L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diversified Dental Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Lafayette Hill, PA
• Providers in Lafayette Hill, PA by specialty
• Dentist 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.