Deets Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DEETS DENTAL LLC

Practice address

5690 Allentown Blvd Ste 100
Harrisburg, PA 17112-4046

Phone

(171) 752-6200

NPI assigned

Oct 24, 2018

Last updated

Oct 24, 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

Scott Conover

Title

Office Manager

Phone

(717) 526-2000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Paxton Family Dental Former legal business name

Locations

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1427525872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5690 ALLENTOWN BLVD STE 100",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171124046",
            "telephone_number": "171-752-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5690 ALLENTOWN BLVD STE 100",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171124046",
            "telephone_number": "171-752-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEETS DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "CONOVER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-526-2000"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447401187",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255716411",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paxton Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Paxton Family Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Deborah Care LLC
• Rachel Christine Decesaris, PA-C
• Brian Alan Dechowitz, DPM
• Emily Decker
• Decode It
• Eric Blaze Degelow
• Denise L Dejohn, CRNP
• Julia Anne Correia Delcour, CRNP
• Bianca Jade Deleo
• Joanna Marie Deleo, D.O.

• Dental Clinic/Center in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.