Dental Implant & Periodontal Surgeons, P.C.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DS037420 Issued in PA

Legal business name

DENTAL IMPLANT & PERIODONTAL SURGEONS, P.C.

Practice address

638 Newtown Yardley Rd Ste 1C
Newtown, PA 18940

Phone

(159) 689-6012

NPI assigned

Oct 5, 2010

Organization subpart

No

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

Authorized official

Name

Samer Khoury, DDS MSNPI 1568541498

Title

President

Phone

(215) 968-9601

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samer Khoury, DDS MS

  • Periodontics
  • Newtown, PA
  • NPI 1568541498
  NPD Authorized official

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1235448440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 NEWTOWN YARDLEY RD STE 1C",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401737",
            "telephone_number": "215-968-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 NEWTOWN YARDLEY RD STE 1C",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "18940",
            "telephone_number": "159-689-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL IMPLANT & PERIODONTAL SURGEONS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "KHOURY",
        "authorized_official_first_name": "SAMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-968-9601",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS037420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Delsignore, MSPT
• Kim Marie Dempsey, PSYD
• Lee Ann Dempsey
• Edward Bruce Denkin, DMD
• Dennis James Bonner, MD, LTD
• Christine Elizabeth Derosa, DPT
• Ivy Derosa, D.O.
• Twisa Desai, MA, LPC, NCC
• Anil S Deshpande, M.D.
• Design for Vision Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.