Organization Active NPI

Advanced Cosmetic and Implant Dentistry LLC

  • Dental Clinic/Center
  • Allentown, PA
National Provider Identifier
1316780513
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ADVANCED COSMETIC AND IMPLANT DENTISTRY LLC
Practice address
501 N 17TH St Ste 107
Allentown, PA 18104-5044
Phone
(484) 350-3239
NPI assigned
Jun 15, 2024
Last updated
Jun 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Hiteshkumar Nada, DDS
Title
Member
Phone
(610) 944-0551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

501 N 17TH St Ste 107
Allentown, PA 18104-5044

Mailing address

501 N 17TH St Ste 107
Allentown, PA 18104-5044
Phone (484) 350-3239

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1718409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1316780513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N 17TH ST STE 107",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045044",
            "telephone_number": "484-350-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N 17TH ST STE 107",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045044",
            "telephone_number": "484-350-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED COSMETIC AND IMPLANT DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-15",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "NADA",
        "authorized_official_first_name": "HITESHKUMAR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "610-944-0551",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.