Organization Active NPI

Tilghman Street Dental LLC

  • Dentist
  • Allentown, PA
National Provider Identifier
1437884756
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TILGHMAN STREET DENTAL LLC
Practice address
1814 W Tilghman St
Allentown, PA 18104-4116
Phone
(973) 715-5963
NPI assigned
Jul 20, 2022
Last updated
Jul 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Michael E Skolnick, DMD
Title
President
Phone
(973) 715-5963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

1814 W Tilghman St
Allentown, PA 18104-4116

Mailing address

1814 W Tilghman St
Allentown, PA 18104-4116
Phone (973) 715-5963

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL smiles4keeps.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1437884756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 W TILGHMAN ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044116",
            "telephone_number": "973-715-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 W TILGHMAN ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044116",
            "telephone_number": "973-715-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILGHMAN STREET DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "SKOLNICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-715-5963",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "smiles4keeps.com",
            "affiliation": "N",
            "address_1": "1814 W Tilghman St",
            "city": "Allentown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "181044116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.