Delaware County Dental, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DELAWARE COUNTY DENTAL, LLC

Practice address

92 Overlook Cir
Garnet Valley, PA 19060-2250

Phone

(484) 832-1599

NPI assigned

Jan 30, 2022

Organization subpart

No

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

Authorized official

Name

Luke CamagnaNPI 1063941623

Title

Dentist

Phone

(484) 832-1599

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Luke Camagna

  • Dentist
  • Garnet Valley, PA
  • NPI 1063941623
  NPD Authorized official

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

{
    "created_epoch": "1643500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643500800000",
    "number": "1497408553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 OVERLOOK CIR",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "190602250",
            "telephone_number": "484-832-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 OVERLOOK CIR",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "190602250",
            "telephone_number": "484-832-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE COUNTY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-30",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A",
        "authorized_official_last_name": "CAMAGNA",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "484-832-1599"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1063941623",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ibrahim Conteh, RN
• Osman Conteh, RN
• Alfred Corneau, PTA
• Marcelina Damaso, ACNP, BC
• Adrianna Rose Davidson
• Victoria Rose Dicampli, OTD OTR/L
• Sandhya Rani Emmadi
• Empower Behavior Coaching LLC
• Gianna Fazio, DPT
• Fean Physical Therapy LLC

• Dentist in Garnet Valley, PA
• Providers in Garnet Valley, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2022; 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.