NPIMap

Organization Active NPI

Indiju2Dental

Doing business as Williams VAlley Dental

  • Dentist
  • Williamstown, PA
National Provider Identifier
1336597947
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS029748-L Issued in PA
Legal business name
INDIJU2DENTAL
Doing business as
Williams VAlley Dental
Practice address
111 S Water St
Williamstown, PA 17098-1530
Phone
(717) 991-8750
Fax
(717) 566-6047
NPI assigned
May 25, 2016
Last updated
May 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Authorized official

Name
Dr. Barry Allyn Moss, DMD
Title
Owner
Phone
(717) 991-8750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS029748-L PA Primary

Addresses

Primary practice location

111 S Water St
Williamstown, PA 17098-1530

Mailing address

245 Dunham Dr
Hummelstown, PA 17036-8040
Phone (717) 991-8750

Other names 1

  • Williams VAlley Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1336597947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 DUNHAM DR",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170368040",
            "telephone_number": "717-991-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S WATER ST",
            "city": "WILLIAMSTOWN",
            "state": "PA",
            "postal_code": "170981530",
            "telephone_number": "717-991-8750",
            "fax_number": "717-566-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIJU2DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "ALLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-991-8750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS029748-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williams VAlley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.