Actdental,Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ACTDENTAL,INC

Doing business as

ACTDental,inc
act dental, inc

Practice address

2213 Shenango Valley Fwy
Hermitage, PA 16148-2544

Phone

(724) 346-5173

Fax

(724) 983-9064

NPI assigned

Jul 28, 2021

Last updated

Jul 28, 2021By 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

Dr. Annette Theofilos, DMDNPI 1528083938

Title

President of Corporation

Phone

(724) 346-5173

Specialties & licenses 1

Addresses

Other names 2

• ACTDental,inc Doing business as
• act dental, inc Doing business as

Locations

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.

• Annette Constance Theofilos, DMD

  • Dentist
  • Sharpsville, PA
  • NPI 1528083938

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1366115131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 SHENANGO VALLEY FWY",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482544",
            "telephone_number": "172-434-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 SHENANGO VALLEY FWY",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482544",
            "telephone_number": "724-346-5173",
            "fax_number": "724-983-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTDENTAL,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "THEOFILOS",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "724-346-5173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACTDental,inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "act dental, inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Abbott, CRNP
• Joseph Elias Abdul-Malak, MD, MBA
• Michael E Abdul-Malak, MD
• Acute Care Homenursing Services Inc.
• Veral Adair Jr., MSW
• Beth Addicott, CRNP
• Sherry L Addicott, PSYD
• Ashley Adkins

• General Practice Dentistry in Hermitage, PA
• Providers in Hermitage, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.