NPIMap

Organization Active NPI

Water'S Edge Dental PLLC

  • General Practice Dentistry
  • West Chester, PA
National Provider Identifier
1316501166
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WATER'S EDGE DENTAL PLLC
Doing business as
Water's Edge Dental PLLC
Practice address
1244 Wrights LN
West Chester, PA 19380-4227
Phone
(610) 696-6070
Fax
(484) 947-2746
NPI assigned
Apr 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Authorized official

Name
Dr. Andrew M Rosen, DMD
Title
Dentist
Phone
(610) 608-6808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1244 Wrights LN
West Chester, PA 19380-4227

Mailing address

1244 Wrights LN
West Chester, PA 19380-4227
Phone (610) 696-6070

Other names 1

  • Water's Edge Dental PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

1244 Wrights Ln
West Chester, PA 19380
Phone (610) 696-6070

Practitioners & affiliated clinicians

Practitioners 3

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": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556236800000",
    "number": "1316501166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 WRIGHTS LN",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804227",
            "telephone_number": "610-696-6070",
            "fax_number": "484-947-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 WRIGHTS LN",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804227",
            "telephone_number": "610-696-6070",
            "fax_number": "484-947-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATER'S EDGE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-04-26",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "610-608-6808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Water's Edge Dental PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.