Xiaoyan Dai, D.M.D.

Individual provider Active NPI General Practice Dentistry · Aston, PA

NPI 1508910381 · NPPES record last updated Nov 28, 2022

Key facts

NPI
1508910381
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DS-030-580-1 (PA)
Practice address
2901 Dutton Mill Rd Ste 130
Aston, PA 19014-2849
Phone
(610) 485-4693
Fax
(888) 855-8556
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DS-030-580-1PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Xiaoyan Dai DMD P C General Practice Current
since Dec 6, 2022
Accepting new patients

Locations

2901 Dutton Mill Rd
Ste 130
Aston, PA 19014
Phone (610) 485-4693

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20460/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS-030-580-1 PA Yes

Addresses

Primary practice location

2901 Dutton Mill Rd Ste 130
Aston, PA 19014-2849

Mailing address

2901 Dutton Mill Rd Ste 130
Aston, PA 19014-2849
Phone (610) 485-4693

Other identifiers

IdentifierTypeStateIssuer
978432OtherPAUNITED CONCORDIA
BD5979755OtherPAPRESCRIPTION NUMBER

Other providers in Aston, PA

All providers in Aston, PA · General Practice Dentistry in Pennsylvania

Sources for this page

Verify at the official NPI Registry.