PA Dental Group

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PA DENTAL GROUP

Practice address

320 N Oxford Valley Rd
Fairless Hills, PA 19030-2610

Phone

(215) 946-9400

Fax

(215) 946-9409

NPI assigned

Nov 8, 2009

Organization subpart

No

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

Authorized official

Name

Priya Barot

Title

Office Manager

Phone

(215) 946-9400

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1257638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257638400000",
    "number": "1487981767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N OXFORD VALLEY RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302610",
            "telephone_number": "215-946-9400",
            "fax_number": "215-946-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N OXFORD VALLEY RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302610",
            "telephone_number": "215-946-9400",
            "fax_number": "215-946-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PA DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-08",
        "last_updated": "2009-11-08",
        "status": "A",
        "authorized_official_last_name": "BAROT",
        "authorized_official_first_name": "PRIYA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-946-9400"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023265700001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023761790001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005292490001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023255360001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ok DME LLC
• Optometric Eyecare Center
• Oxford Crossing Family and Cosmetic Dentistry
• Oxford Valley Pharmacy Inc
• Oxford Valley Pharmacy Inc.
• PA Dental Group LLC
• Nevil Parikh
• Park and Parker Optical, LLC
• Yong I Park, MD
• Milissa Parker

• Dentist in Fairless Hills, PA
• Providers in Fairless Hills, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2009; 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.