Dream-Dentistry LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

DS025683L Issued in PA

Legal business name

DREAM-DENTISTRY LLC

Practice address

1326 W Broad St
Quakertown, PA 18951-1108

Phone

(215) 538-1109

Fax

(215) 536-6114

NPI assigned

Jul 30, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Gordon Sebastian Roeder Jr., DMDNPI 1972713642

Title

Principal

Phone

(215) 538-1109

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gordon Sebastian Roeder Jr., DMD

  • General Practice Dentistry
  • Quakertown, PA
  • NPI 1972713642
  NPD (past) Authorized official
• Zachary Michael Kulp, D.M.D

  • General Practice Dentistry
  • Quakertown, PA
  • NPI 1730562042
  NPD (past)

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1467708297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 W BROAD ST",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511108",
            "telephone_number": "215-538-1109",
            "fax_number": "215-536-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 W BROAD ST",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511108",
            "telephone_number": "215-538-1109",
            "fax_number": "215-536-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM-DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "ROEDER",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "SEBASTIAN",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "215-538-1109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "PA",
            "license": "DS025683L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deb Donahue
• Scott Michael Doroshow, D.O.
• Christine M Dorsey, PA
• Dennis Joseph Dougherty, PT
• Kerianne Marie Downing
• Ilissa Jae Ducoat, LPC, FT
• Kristina Duric, NP
• DWH Direct RX LLC
• Eastern PA. Chiropractic and Functional Rehab
• William H Eaton Jr.

• Customized Equipment (DME) in Quakertown, PA
• Providers in Quakertown, PA by specialty
• Customized Equipment (DME) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.