Spa Creek Dental of PA LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SPA CREEK DENTAL OF PA LLC

Practice address

626 Jacksonville Rd Ste 101
Warminster, PA 18974-4861

Phone

(267) 691-2800

Fax

(267) 691-2830

NPI assigned

Jun 28, 2017

Organization subpart

No

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

Authorized official

Name

Amber Lloyd

Title

Accounts Receivable Specialist

Phone

(267) 691-2812

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1407377690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 JACKSONVILLE RD STE 101",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189744861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 JACKSONVILLE RD STE 101",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189744861",
            "telephone_number": "267-691-2800",
            "fax_number": "267-691-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPA CREEK DENTAL OF PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE SPECIALIST",
        "authorized_official_telephone_number": "267-691-2812"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Warminster, PA
• Providers in Warminster, PA by specialty
• Dentist in Pennsylvania

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