Floral Vale Dental Excellence

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

029728 Issued in PA

Legal business name

FLORAL VALE DENTAL EXCELLENCE

Practice address

117 Floral Vale Blvd
Suite C
Yardley, PA 19067-5522

Phone

(215) 860-4600

Fax

(215) 860-1455

NPI assigned

Nov 9, 2007

Organization subpart

No

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

Authorized official

Name

Jay Dudhat

Title

Office Manager

Phone

(215) 860-4600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced Dental Excellence Doing business as

Locations

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1285814905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 FLORAL VALE BLVD",
            "address_2": "SUITE C",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675522",
            "telephone_number": "215-860-4600",
            "fax_number": "215-860-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 FLORAL VALE BLVD",
            "address_2": "SUITE C",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675522",
            "telephone_number": "215-860-4600",
            "fax_number": "215-860-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORAL VALE DENTAL EXCELLENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "DUDHAT",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-860-4600"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "029728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE DENTAL PRACTICE",
            "identifier": "1",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dental Excellence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• First Home Health Care, Inc .
• Brian Garriock Firth, MD, PHD
• Madelyn Fischer, OTR/L
• Michelle Leigh Karam Fish, DO
• Traci Lee Fitzpatrick, DPT
• Floral Vale Periodontics & Implants, P.C.
• Brittany L Flowers
• Fly Wheel Center PA LLC
• Lisa Fobian, CADC
• Thomas Richard Foley III, CADC

• General Practice Dentistry in Yardley, PA
• Providers in Yardley, 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 Nov 9, 2007; 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.