Elkins Park Dental Innovations PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ELKINS PARK DENTAL INNOVATIONS PC

Practice address

200 Yorktown PLZ
Elkins Park, PA 19027-1424

Phone

(215) 885-6565

NPI assigned

Nov 2, 2022

Organization subpart

No

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

Authorized official

Name

Dilip Dudhat

Title

President

Phone

(215) 237-6099

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sophia Anne Breslin, DMD

  • General Practice Dentistry
  • Elkins Park, PA
  • NPI 1962130427
  NPD

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1326755075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 KINGSTON WAY",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194544528",
            "telephone_number": "215-390-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 YORKTOWN PLZ",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271424",
            "telephone_number": "215-885-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKINS PARK DENTAL INNOVATIONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "DUDHAT",
        "authorized_official_first_name": "DILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-237-6099"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eklins Park Dental Assoc., LLC (Advanced Family Dental Care)
• Elite Care Home Care LLC
• Elite Model Therapy, LLC
• Elkins Crest Health & Rehabilitation Center, LLC
• Elkins Park Chiropractic Center LLC
• Elkins Park Dental, Inc.
• Elkins Park Oral Surgery, Inc (Elkins Park Dental Specialist)
• Elkins Park Orthodontics PC (Elkins Park Orthodontist PC)
• Elkins Park Orthodontist
• Elkins Park Pharmacy Inc.

• Dental Clinic/Center in Elkins Park, PA
• Providers in Elkins Park, 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 Nov 2, 2022; 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.