Organization Active NPI

Dhaduk Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Greensburg, PA
National Provider Identifier
1235815705
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DHADUK PEDIATRIC DENTISTRY PLLC
Practice address
510 Pellis Rd Ste 102
Greensburg, PA 15601-4583
Phone
(724) 832-2255
NPI assigned
Jun 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Ami Dhaduk, DMDNPI 1306386180
Title
President
Phone
(724) 832-2255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

510 Pellis Rd Ste 102
Greensburg, PA 15601-4583

Mailing address

510 Pellis Rd Ste 102
Greensburg, PA 15601-4583
Phone (724) 832-2255

National Provider Directory

National Provider Directory

Locations

510 Pellis Rd
Ste 102
Greensburg, PA 15601
Phone (724) 832-2255

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1235815705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 PELLIS RD STE 102",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014583",
            "telephone_number": "724-832-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 PELLIS RD STE 102",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014583",
            "telephone_number": "724-832-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHADUK PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "DHADUK",
        "authorized_official_first_name": "AMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-832-2255",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.