Hellertown Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DSO26274L Issued in PA

Legal business name

HELLERTOWN DENTAL GROUP

Practice address

1213 Main St
Hellertown, PA 18055-1320

Phone

(610) 838-0131

NPI assigned

Apr 14, 2008

Last updated

Apr 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandra L Matos

Title

Office Manager

Phone

(610) 838-0131

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1235303074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 MAIN ST",
            "city": "HELLERTOWN",
            "state": "PA",
            "postal_code": "180551320",
            "telephone_number": "610-838-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 MAIN ST",
            "city": "HELLERTOWN",
            "state": "PA",
            "postal_code": "180551320",
            "telephone_number": "610-838-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELLERTOWN DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "MATOS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-838-0131"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DSO26274L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane M Gagliano, MA., LPC
• Tracey Gatchel
• Jose Eligio Grullon, DPM
• Brian Scott Hagenbuch, P.T.
• Asma Moustafa Mohamed Hassan
• Hellertown Family Foot Care, Inc.
• Here and Now LLC
• Peter Hisle, PT
• Connor John Holohan
• Timothy M Hoyt, LMT, ATC

• General Practice Dentistry in Hellertown, PA
• Providers in Hellertown, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.