NPIMap

Organization Active NPI

Wyomissing Dental Associates, P.C.

  • General Practice Dentistry
  • Wyomissing, PA
National Provider Identifier
1326318254
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS036114 Issued in PA
Legal business name
WYOMISSING DENTAL ASSOCIATES, P.C.
Practice address
2228 State Hill Rd
Wyomissing, PA 19610-1904
Phone
(610) 372-8406
Fax
(610) 372-3998
NPI assigned
Jan 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Authorized official

Name
Jeffrey N. Grove, D.M.D.NPI 1184772881
Title
President
Phone
(610) 372-8406

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 DS036114 PA Primary

Addresses

Primary practice location

2228 State Hill Rd
Wyomissing, PA 19610-1904

Mailing address

2228 State Hill Rd
Wyomissing, PA 19610-1904
Phone (610) 372-8406

Other names 1

  • Grove Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

2228 State Hill Rd
Wyomissing, PA 19610
Phone (610) 372-8406

Practitioners & affiliated clinicians

Practitioners 8

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": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1326318254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 STATE HILL RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101904",
            "telephone_number": "610-372-8406",
            "fax_number": "610-372-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 STATE HILL RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101904",
            "telephone_number": "610-372-8406",
            "fax_number": "610-372-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMISSING DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "GROVE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-372-8406",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grove Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.