Organization Active NPI

Richard E Deforno DMD PC

  • Dentist
  • Thorndale, PA
National Provider Identifier
1407962681
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS019463 Issued in PA
Legal business name
RICHARD E DEFORNO DMD PC
Doing business as
Thorndale Dental Associates
Practice address
3105 C G Zinn Rd
Thorndale, PA 19372
Phone
(610) 384-2541
Fax
(610) 384-8638
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Dr. Richard E Deforno, DMD
Title
President
Phone
(610) 384-2541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS019463 PA Primary

Addresses

Primary practice location

3105 C G Zinn Rd
Thorndale, PA 19372

Mailing address

3105 C G Zinn Rd
Thorndale, PA 19372
Phone (610) 384-2541

Other names 1

  • Thorndale Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

3105 Zinn Rd
Thorndale, PA 19372
Phone (610) 384-2541

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1407962681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 C G ZINN RD",
            "city": "THORNDALE",
            "state": "PA",
            "postal_code": "19372",
            "telephone_number": "610-384-2541",
            "fax_number": "610-384-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 C G ZINN RD",
            "city": "THORNDALE",
            "state": "PA",
            "postal_code": "19372",
            "telephone_number": "610-384-2541",
            "fax_number": "610-384-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD E DEFORNO DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "DEFORNO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-384-2541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS019463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thorndale Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thorndale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.