Organization Active NPI

Advanced Dentistry on Mainline

  • Dentist
  • Malvern, PA
National Provider Identifier
1225908312
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ADVANCED DENTISTRY ON MAINLINE
Practice address
365 Lancaster Ave Ste 5
Malvern, PA 19355-1867
Phone
(610) 993-8770
NPI assigned
Nov 5, 2025
Last updated
Nov 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Nirav Patel, DMDNPI 1619586161
Title
Owner
Phone
(215) 588-4224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

365 Lancaster Ave Ste 5
Malvern, PA 19355-1867

Mailing address

365 Lancaster Ave Ste 5
Malvern, PA 19355-1867
Phone (610) 993-8770

National Provider Directory

National Provider Directory

Locations

365 Lancaster Ave
Ste 5
Malvern, PA 19355
Phone (610) 993-8770

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": "1762300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1225908312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 LANCASTER AVE STE 5",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551867",
            "telephone_number": "610-993-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 LANCASTER AVE STE 5",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551867",
            "telephone_number": "610-993-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTISTRY ON MAINLINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIRAV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-588-4224",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.