Fairview Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS030144L Issued in PA

Legal business name

FAIRVIEW FAMILY DENTISTRY

Practice address

1009 Valley Forge Rd
Norristown, PA 19403-1022

Phone

(610) 630-2373

Fax

(610) 630-5682

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ehab S Mina, D.M.D.

Title

Owner

Phone

(610) 630-2373

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1508931882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 VALLEY FORGE RD",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194031022",
            "telephone_number": "610-630-2373",
            "fax_number": "610-630-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 VALLEY FORGE RD",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194031022",
            "telephone_number": "610-630-2373",
            "fax_number": "610-630-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "MINA",
        "authorized_official_first_name": "EHAB",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-630-2373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS030144L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Christina Erkoboni-Wilbur, M.D.
• Arthur Ersner, MD
• Euphoric Living Home Care
• Anne M Facchiano, DMD
• Fair View Counseling Center, P.C.
• Oladipupo Remilekun Fakiyesi, MPH
• Harry Arthur Fallick, D.O.
• Family Wellness PC (Dr. Watson)
• Stephen Fantini
• Sabeena Shafi Fazili, M.D

• General Practice Dentistry in Norristown, PA
• Providers in Norristown, 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 May 7, 2013; 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.