Active NPI
Indiju 6 Dental LLC
Doing business as Sherry Dental Leighton
- Dental Clinic/Center
- Lehighton, PA
National Provider Identifier
1376297986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- INDIJU 6 DENTAL LLC
- Doing business as
- Sherry Dental Leighton
- Practice address
- 757 Fredericks Grove Rd
Lehighton, PA 18235-9716 - Phone
- (570) 386-6910
- NPI assigned
- Feb 11, 2022
- 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
- Dr. Barry Allyn Moss, DMD
- Title
- President
- Phone
- (717) 991-8750
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
757 Fredericks Grove Rd
Lehighton, PA 18235-9716
Mailing address
245 Dunham Dr
Hummelstown, PA 17036-8040
Phone (717) 991-8750
Other names 1
- Sherry Dental Leighton
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Shenandoah, PA
- NPI 1134613235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644537600000",
"number": "1376297986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 DUNHAM DR",
"city": "HUMMELSTOWN",
"state": "PA",
"postal_code": "170368040",
"telephone_number": "717-991-8750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 FREDERICKS GROVE RD",
"city": "LEHIGHTON",
"state": "PA",
"postal_code": "182359716",
"telephone_number": "570-386-6910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDIJU 6 DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-11",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A",
"authorized_official_last_name": "MOSS",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "ALLYN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "717-991-8750",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sherry Dental Leighton",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lehighton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.