Etfd - Elizabeth LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ETFD - ELIZABETH LLC

Practice address

510 Simpson Howell Rd
Elizabeth, PA 15037-2818

Phone

(412) 754-0524

NPI assigned

Aug 14, 2025

Organization subpart

No

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

Authorized official

Name

Chad Hendricks

Title

Credentialing

Phone

(612) 859-0444

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Township Family Dentistry Doing business as

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1366328296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 SIMPSON HOWELL RD",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "150372818",
            "telephone_number": "412-754-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 SIMPSON HOWELL RD",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "150372818",
            "telephone_number": "412-754-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETFD - ELIZABETH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elizabeth Township Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jocelyn L Dytko, LSW
• Elizabeth Family Medicine
• Elizabeth Forward School District
• Elizabeth Medical Practice LLC
• Elizabeth Township Family Medicine, PC
• Fayette Resources, Inc
• Tara M Ferguson, DOCTORATE OF PHYSICA
• Five Star Quality Care - GHV, LLC
• Michael Fournier, OTR/L
• August J. Gatto, DC

• General Practice Dentistry in Elizabeth, PA
• Providers in Elizabeth, 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 Aug 14, 2025; 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.