Advanced Dentistry of Butler LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DS021397L Issued in PA

Legal business name

ADVANCED DENTISTRY OF BUTLER LLC

Practice address

101 Decatur Dr
Butler, PA 16002-3891

Phone

(724) 444-0608

Fax

(724) 282-2559

NPI assigned

May 11, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Robert Fornalczyk

Title

Owner

Phone

(724) 282-4436

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1326574286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10497 ALLANTE CT",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150447462",
            "telephone_number": "724-282-4436",
            "fax_number": "724-282-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DECATUR DR",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160023891",
            "telephone_number": "724-444-0608",
            "fax_number": "724-282-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTISTRY OF BUTLER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "FORNALCZYK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-282-4436",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS021397L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashok N Adalja, M.D.
• Barbara Hughes Adams, L.P.N.
• Emily Adams, PA-C
• Richard F Adams, M.D.
• Joanne Adolfo, O.D.
• Advanced OB/GYN Associates, P.C.
• Advantage Chiropractic Centers, LLC
• Aeg Pennsylvania Professional, Inc
• Affiliated Rehabilitation Centers
• Surbhi Agarwal

• Dental Clinic/Center in Butler, PA
• Providers in Butler, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.