Organization Active NPI

Sedation Dentistry Today, LLC

  • General Practice Dentistry
  • Hanover, PA
National Provider Identifier
1336505619
Registry record updated Jan 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS024985L Issued in PA
Legal business name
SEDATION DENTISTRY TODAY, LLC
Practice address
250 Fame Ave
Suite 206
Hanover, PA 17331-1587
Phone
(717) 637-6119
NPI assigned
Jan 3, 2016
Last updated
Jan 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2016

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
Owner
Phone
(717) 637-6119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS024985L PA Primary

Addresses

Primary practice location

250 Fame Ave
Suite 206
Hanover, PA 17331-1587

Mailing address

250 Fame Ave
Suite 206
Hanover, PA 17331-1587
Phone (717) 637-6119

National Provider Directory

National Provider Directory

Locations

250 Fame Ave
Ste 206
Hanover, PA 17331
Phone (717) 637-0202

NPI Registry JSON

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

{
    "created_epoch": "1451779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451779200000",
    "number": "1336505619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 FAME AVE",
            "address_2": "SUITE 206",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311587",
            "telephone_number": "717-637-6119"
        },
        {
            "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": "717-637-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDATION DENTISTRY TODAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-03",
        "last_updated": "2016-01-03",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-637-6119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS024985L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.