August Andrew Denicco, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS017407L Issued in PA

Practice address

554 E High St
Pottstown, PA 19464-5690

Phone

(610) 326-9312

Fax

(610) 326-9178

NPI assigned

Feb 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306988332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645690",
            "telephone_number": "610-326-9312",
            "fax_number": "610-326-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645690",
            "telephone_number": "610-326-9312",
            "fax_number": "610-326-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENICCO",
        "first_name": "AUGUST",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS017407L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Stephen Demidovich III, D.O.
• Danielle Dempsey
• Kimberly Demyan
• Johnathon Lee Dengler
• Anthony M Denicco, D.D.S.
• Jaime Depaolo, MA
• Deborah A Depolo, M.A.
• Charlene Marie Deprophetis I
• Alivia Derr
• Beth Sue Desch, RDH

• General Practice Dentistry in Pottstown, PA
• Providers in Pottstown, 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 Jul 8, 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.