Newtown Square Dental Associates, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

NEWTOWN SQUARE DENTAL ASSOCIATES, LLC

Practice address

28 Alpha Dr
Newtown Square, PA 19073-4102

Phone

(610) 359-1660

Fax

(610) 359-1662

NPI assigned

Dec 30, 2009

Organization subpart

No

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

Authorized official

Name

Charles J Rose, DMD

Title

Managing Member

Phone

(610) 359-1660

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1497085286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 ALPHA DR",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190734102",
            "telephone_number": "610-359-1660",
            "fax_number": "610-359-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 ALPHA DR",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190734102",
            "telephone_number": "610-359-1660",
            "fax_number": "610-359-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWTOWN SQUARE DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "610-359-1660",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Newtown Square, PA
• Providers in Newtown Square, PA by specialty
• Dentist in Pennsylvania

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