Active NPI
Coopersburg Dental PLLC
- Dental Clinic/Center
- Coopersburg, PA
National Provider Identifier
1508453036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- COOPERSBURG DENTAL PLLC
- Practice address
- 20 S Main St
Coopersburg, PA 18036-1911 - Phone
- (610) 282-1700
- NPI assigned
- Dec 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Galvin
- Title
- Billing Manager
- Phone
- (570) 655-7645
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
20 S Main St
Coopersburg, PA 18036-1911
Mailing address
457 N Main St Ste 100
Pittston, PA 18640-2185
Phone (570) 655-7645
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://drmarycares.com/ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Coopersburg, PA
- NPI 1962487074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609286400000",
"number": "1508453036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "457 N MAIN ST STE 100",
"city": "PITTSTON",
"state": "PA",
"postal_code": "186402185",
"telephone_number": "570-655-7645",
"fax_number": "570-299-7427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 S MAIN ST",
"city": "COOPERSBURG",
"state": "PA",
"postal_code": "180361911",
"telephone_number": "610-282-1700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COOPERSBURG DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-30",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A",
"authorized_official_last_name": "GALVIN",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "570-655-7645"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://drmarycares.com/",
"affiliation": "N",
"endpointDescription": "Office",
"address_1": "20 S Main St",
"city": "Coopersburg",
"state": "PA",
"country_code": "US",
"postal_code": "180361911",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Coopersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.