CCD Dental Innovations, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CCD DENTAL INNOVATIONS, LLC

Doing business as

Dental Innovations

Practice address

601D Bethlehem Pike
Suite 200
Montgomeryville, PA 18936-9713

Phone

(215) 646-3040

NPI assigned

Apr 13, 2016

Organization subpart

No

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

Authorized official

Name

Mr. John Button

Title

Owner

Phone

(215) 646-3040

Specialties & licenses 1

Addresses

Other names 1

• Dental Innovations Doing business as

Locations

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.

• Anthony Albert, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Montgomeryville, PA
  • NPI 1770183014

  Multi-Specialty

  NPD (past)
• Nicholas Angelo Faino, DMD

  • Dentist
  • Montgomeryville, PA
  • NPI 1033760632
  NPD (past)

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1235593443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601D BETHLEHEM PIKE",
            "address_2": "SUITE 200",
            "city": "MONTGOMERYVILLE",
            "state": "PA",
            "postal_code": "189369713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601D BETHLEHEM PIKE",
            "address_2": "SUITE 200",
            "city": "MONTGOMERYVILLE",
            "state": "PA",
            "postal_code": "189369713",
            "telephone_number": "215-646-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCD DENTAL INNOVATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "BUTTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-646-3040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Innovations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evelyn M. Campbell, LCSW
• Carbon Health Medical Group of Florida PA
• Care Penn Incorporated
• Caresense Health LLC
• Sarah Jean Carmine, PA-C
• Jacqueline Cecilia Clarhaut-Maylott, PA-C
• Ryan Cook, PA-C
• Jane Ellen Cooke, L.C.S.W.
• Counseling Center at Heritage, LLC
• Thomas Martin Cowgill, M.A.

• General Practice Dentistry in Montgomeryville, PA
• Providers in Montgomeryville, 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 13, 2016; 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.