Bradford Plasha, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS042122 Issued in PA

Practice address

222 E Main St Ste 1C
Collegeville, PA 19426-2650

Phone

(484) 854-6900

NPI assigned

Jun 23, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Dental Spot, LLC

  • Dental Clinic/Center
  • Collegeville, PA
  • NPI 1033743992
  NPD Authorized official

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1447601174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E MAIN ST",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262650",
            "telephone_number": "484-854-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E MAIN ST STE 1C",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262650",
            "telephone_number": "484-854-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S Main Rd",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083607897",
            "country_code": "US",
            "telephone_number": "856-200-3899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLASHA",
        "first_name": "BRADFORD",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-23",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02642900",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martika A Phoenix
• Physician Assistant Surgical Associates, LLC
• Pieces2Gether, LLC
• Pine River Group LLC
• Planned Parenthood Southeastern Pennsylvania
• Pmsi Collegeville Family Practice (Collegeville Family Practice)
• Ayushi Pola, DMD
• Kimberly Polonsky, LSW, CSC, BC-TMH
• Stephen Polonsky, MSW, LSW
• Polina Pomrink, MSN FNP

• General Practice Dentistry in Collegeville, PA
• Providers in Collegeville, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.