Organization Active NPI

Acedental,PA,P.C.

  • Dentist
  • East Stroudsburg, PA
National Provider Identifier
1457740532
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS039899 Issued in PA
Legal business name
ACEDENTAL,PA,P.C.
Practice address
9090 Franklin Hill Rd
Ste 202
East Stroudsburg, PA 18301-9105
Phone
(570) 223-2400
Fax
(570) 223-2401
NPI assigned
Jan 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Nabendu K Mukherjee, DDS
Title
Ceo
Phone
(570) 223-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DS039899 PA Primary

Addresses

Primary practice location

9090 Franklin Hill Rd
Ste 202
East Stroudsburg, PA 18301-9105

Mailing address

9090 Franklin Hill Rd
Suite 202
East Stroudsburg, PA 18301-9103
Phone (570) 223-2400

National Provider Directory

National Provider Directory

Locations

9090 Franklin Hill Rd
Ste 202
East Stroudsburg, PA 18301
Phone (570) 223-2400

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1457740532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9090 FRANKLIN HILL RD",
            "address_2": "SUITE 202",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019103",
            "telephone_number": "570-223-2400",
            "fax_number": "570-223-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9090 FRANKLIN HILL RD",
            "address_2": "STE 202",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019105",
            "telephone_number": "570-223-2400",
            "fax_number": "570-223-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACEDENTAL,PA,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "MUKHERJEE",
        "authorized_official_first_name": "NABENDU",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-223-2400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.