Meddoc Central LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

G1-0001317 Issued in DE

Legal business name

MEDDOC CENTRAL LLC

Doing business as

Dental Sleep Solutions of Delaware

Practice address

5912 Ridge Ave
Philadelphia, PA 19128-1639

Phone

(484) 390-0378

NPI assigned

Jul 20, 2017

Last updated

Sep 13, 2018By 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

John Gvodas Jr.

Title

Manager

Phone

(484) 390-0378

Specialties & licenses 1

Addresses

Other names 1

• Dental Sleep Solutions of Delaware Doing business as

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1396268371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "FAIRPLAY",
            "state": "MD",
            "postal_code": "217330112",
            "telephone_number": "301-573-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5912 RIDGE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281639",
            "telephone_number": "484-390-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDDOC CENTRAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-20",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "GVODAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "484-390-0378",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "DE",
            "license": "G1-0001317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Sleep Solutions of Delaware",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Prosthetic/Orthotic Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.