Park Heights Dental Associates, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

022033-L Issued in PA

Legal business name

PARK HEIGHTS DENTAL ASSOCIATES, P.C.

Practice address

5555 Wissahickon Ave
Suite L-95
Philadelphia, PA 19144-4555

Phone

(215) 848-2023

Fax

(215) 843-8240

NPI assigned

May 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Clyde Knox Jr., D.D.S

Title

President

Phone

(215) 848-2023

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497702914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 WISSAHICKON AVE",
            "address_2": "SUITE L-95",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444555",
            "telephone_number": "215-848-2023",
            "fax_number": "215-843-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 WISSAHICKON AVE",
            "address_2": "SUITE L-95",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444555",
            "telephone_number": "215-848-2023",
            "fax_number": "215-843-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK HEIGHTS DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-848-2023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "022033-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Parish
• Jennifer Leigh Parish, M.D.
• Lawrence Charles Parish, MD
• Maria L Parisi
• Park Dental Associates P.C.
• Park Pleasant, Inc
• Park Prescriptions, Inc.
• Caitlin Park-Davidson
• Albert Park, DPT
• Alice Soo Park, NP

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.