Philip Ebdlahad DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DS028620L Issued in PA

Legal business name

PHILIP EBDLAHAD DDS

Practice address

236 N 5TH St
Reading, PA 19601

Phone

(610) 478-9044

Fax

(610) 478-9401

NPI assigned

Feb 6, 2006

Last updated

Feb 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Philip EbdlahadNPI 1902134422

Title

Owner President

Phone

(610) 478-9044

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Philip Ebdlahad, DDS

  • Dentist
  • Reading, PA
  • NPI 1902134422
  Authorized official Same address or phone

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1336111293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 N 5TH ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "19601",
            "telephone_number": "610-478-9044",
            "fax_number": "610-478-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 N 5TH ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "19601",
            "telephone_number": "610-478-9044",
            "fax_number": "610-478-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP EBDLAHAD DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "EBDLAHAD",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "610-478-9044"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS028620L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014310400002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Reading, PA
• Providers in Reading, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; 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.