Newport Family Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NEWPORT FAMILY DENTAL LLC

Practice address

91 Newport Rd Ste 101
Gap, PA 17527-9579

Phone

(717) 442-8264

NPI assigned

Feb 2, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Roger Fitzwater Jr.

Title

Owner

Phone

(717) 278-4199

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1346946175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 NEWPORT RD STE 101",
            "city": "GAP",
            "state": "PA",
            "postal_code": "175279579",
            "telephone_number": "717-442-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 NEWPORT RD STE 101",
            "city": "GAP",
            "state": "PA",
            "postal_code": "175279579",
            "telephone_number": "717-442-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "FITZWATER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-278-4199",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria L. Meliton, D.M.D.
• Thomas Messner, DPT
• Olivia Miller, PA-C
• Onyinye C Myers, D.D.S.
• Naaman Center
• Patrick Michael O'Connor, MD, MPH
• Om Saidev LLC
• Om Saidev LLC
• Pequea Valley Community Medicine
• Connie D. Rita, M.A.

• Dental Clinic/Center in Gap, PA
• Providers in Gap, 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 Feb 2, 2023; 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.