Active NPI
Progressive Dental Care Center
- Dentist
- Hanover, PA
National Provider Identifier
1326186743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 24985
- Legal business name
- PROGRESSIVE DENTAL CARE CENTER
- Practice address
- 250 Fame Ave
Suite 206
Hanover, PA 17331-1587 - Phone
- (717) 637-0202
- Fax
- (717) 637-5855
- NPI assigned
- Feb 1, 2007
- Last updated
- Feb 4, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Terry M Gordon, DDS
- Title
- Vice President
- Phone
- (717) 637-0202
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 24985 | PA | Primary |
| General Practice Dentistry | 1223G0001X | 36615 | PA | |
| Pediatric Dentistry | 1223P0221X | 28116 | PA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 22314 | PA |
Addresses
Primary practice location
250 Fame Ave
Suite 206
Hanover, PA 17331-1587
Mailing address
PO Box 471
Hanover, PA 17331-0471
Phone (717) 637-0202
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296777600000",
"number": "1326186743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 471",
"city": "HANOVER",
"state": "PA",
"postal_code": "173310471",
"telephone_number": "717-637-0202",
"fax_number": "717-637-5855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 FAME AVE",
"address_2": "SUITE 206",
"city": "HANOVER",
"state": "PA",
"postal_code": "173311587",
"telephone_number": "717-637-0202",
"fax_number": "717-637-5855"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROGRESSIVE DENTAL CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2011-02-04",
"status": "A",
"authorized_official_last_name": "GORDON",
"authorized_official_first_name": "TERRY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "717-637-0202",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "24985",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "36615",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "28116",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "PA",
"license": "22314",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover, PA
- Kevin Polifko, PHARMACIST
- Matthew Adam Posner, MD
- Premise Health of Pennsylvania Medical PC (Snyders - Hanover)
- Premise Health of Pennsylvania Medical PC (Homewood - Hanover)
- Vernon H Preston, M.D.
- Terri A Prowell, CRNP
- Jessica Ann Quiggle, PA-C
- R Eric Mathews, M.D.
- Rachel Lynne Ramos, MA ATR-BC LPC
- Troy Allen Rang, MPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.