NPIMap

Organization Active NPI

Bradford County Dental Health Serv Inc

  • Dental Clinic/Center
  • Towanda, PA
National Provider Identifier
1356448864
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BRADFORD COUNTY DENTAL HEALTH SERV INC
Practice address
1 Progress Plaza
Suite #6
Towanda, PA 18848-1656
Phone
(570) 265-2069
Fax
(570) 265-8718
NPI assigned
Sep 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Robin A Coyle, ROHNPI 1427262807
Title
Dental Hygienist Clinical Manager
Phone
(570) 265-2069

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1 Progress Plaza
Suite #6
Towanda, PA 18848-1656

Mailing address

1 Progress Plaza
Suite #6
Towanda, PA 18848-1656
Phone (570) 265-2069

Other identifiers 1

IdentifierTypeStateIssuer
0016485020002MedicaidPA

Other names 1

  • Not For Profit Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356448864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PROGRESS PLAZA",
            "address_2": "SUITE #6",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188481656",
            "telephone_number": "570-265-2069",
            "fax_number": "570-265-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PROGRESS PLAZA",
            "address_2": "SUITE #6",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188481656",
            "telephone_number": "570-265-2069",
            "fax_number": "570-265-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD COUNTY DENTAL HEALTH SERV INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COYLE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTAL HYGIENIST CLINICAL MANAGER",
        "authorized_official_telephone_number": "570-265-2069",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ROH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016485020002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Not For Profit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Towanda, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.