Organization Active NPI

Gaetano a Storace III, D.M.D., P.C.

  • General Practice Dentistry
  • Bensalem, PA
National Provider Identifier
1295857282
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS031072L Issued in PA
Legal business name
GAETANO A STORACE III, D.M.D., P.C.
Practice address
2420 Bristol Rd
Bensalem, PA 19020-6002
Phone
(215) 750-0769
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gaetano Alexander Storace III, D.M.D.NPI 1710007687
Title
President
Phone
(215) 750-0769

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS031072L PA Primary

Addresses

Primary practice location

2420 Bristol Rd
Bensalem, PA 19020-6002

Mailing address

2420 Bristol Rd
Bensalem, PA 19020-6002
Phone (215) 750-0769

National Provider Directory

National Provider Directory

Locations

2420 Bristol Rd
Bensalem, PA 19020
Phone (215) 750-0769

Practitioners & affiliated clinicians

Practitioners 1

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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295857282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 BRISTOL RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190206002",
            "telephone_number": "215-750-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 BRISTOL RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190206002",
            "telephone_number": "215-750-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAETANO A STORACE III, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STORACE",
        "authorized_official_first_name": "GAETANO",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-750-0769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS031072L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.