Active NPI
Advance Cosmetic and General Dentistry LLC
- Dentist
- Bensalem, PA
National Provider Identifier
1376083717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS037553
- Legal business name
- ADVANCE COSMETIC AND GENERAL DENTISTRY LLC
- Practice address
- 3455 Street Rd
Stoc#6
Bensalem, PA 19020-1542 - Phone
- (732) 491-6437
- NPI assigned
- Mar 5, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bhavin Shah, DDS
- Title
- President
- Phone
- (732) 491-6437
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS037553 | PA | Primary |
Addresses
Primary practice location
3455 Street Rd
Stoc#6
Bensalem, PA 19020-1542
Mailing address
101 Dorset Ave
Croydon, PA 19021-6224
National Provider Directory
National Provider DirectoryLocations
101 Dorset Ave
Croydon, PA 19021
Phone (215) 788-7966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488672000000",
"number": "1376083717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 DORSET AVE",
"city": "CROYDON",
"state": "PA",
"postal_code": "190216224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 STREET RD",
"address_2": "STOC#6",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190201542",
"telephone_number": "732-491-6437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCE COSMETIC AND GENERAL DENTISTRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-05",
"last_updated": "2017-03-05",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "BHAVIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "732-491-6437",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "PA",
"license": "DS037553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bensalem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.