Bethlehem Pediatric Dental Associates

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS018777L Issued in PA

Legal business name

BETHLEHEM PEDIATRIC DENTAL ASSOCIATES

Practice address

2299 Brodhead Rd
Bethlehem, PA 18020-8908

Phone

(610) 954-5400

Fax

(610) 954-5400

NPI assigned

Jun 25, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jay Goldsleger, D.D.S.

Title

Dentist/Owner

Phone

(610) 954-5400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1437387776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 BRODHEAD RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208908",
            "telephone_number": "610-954-5400",
            "fax_number": "610-954-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 BRODHEAD RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208908",
            "telephone_number": "610-954-5400",
            "fax_number": "610-954-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHLEHEM PEDIATRIC DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "GOLDSLEGER",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "610-954-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS018777L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.