Organization Active NPI

Moktan Dental Care

  • General Practice Dentistry
  • Exton, PA
National Provider Identifier
1417975343
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS031048L Issued in PA
Legal business name
MOKTAN DENTAL CARE
Practice address
105 Coeway LN
Exton, PA 19341-2240
Phone
(610) 363-7550
Fax
(610) 363-7551
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Mr. Hridai Moktan
Title
Business Manager & Director
Phone
(610) 363-7550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DS031048L PA Primary

Addresses

Primary practice location

105 Coeway LN
Exton, PA 19341-2240

Mailing address

105 Coeway LN
Exton, PA 19341-2240
Phone (610) 363-7550

National Provider Directory

National Provider Directory

Locations

105 Coeway Ln
Exton, PA 19341
Phone (610) 363-7550

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": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1417975343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 COEWAY LN",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412240",
            "telephone_number": "610-363-7550",
            "fax_number": "610-363-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 COEWAY LN",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412240",
            "telephone_number": "610-363-7550",
            "fax_number": "610-363-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOKTAN DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "MOKTAN",
        "authorized_official_first_name": "HRIDAI",
        "authorized_official_title_or_position": "BUSINESS MANAGER & DIRECTOR",
        "authorized_official_telephone_number": "610-363-7550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS031048L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.