Precision Dental of Hatboro, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS035713 Issued in PA

Legal business name

PRECISION DENTAL OF HATBORO, LLC

Practice address

2800 E County Line Rd
Hatboro, PA 19040-2347

Phone

(215) 675-6400

NPI assigned

Apr 24, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eugene Kim

Title

Owner Member

Phone

(215) 675-6400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Eli Brodsky, DDS

  • General Practice Dentistry
  • Hatboro, PA
  • NPI 1306976030
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528287133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E COUNTY LINE RD",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190402347",
            "telephone_number": "215-675-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E COUNTY LINE RD",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190402347",
            "telephone_number": "215-675-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION DENTAL OF HATBORO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER MEMBER",
        "authorized_official_telephone_number": "215-675-6400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy J.M. Polin, MSN, CRNP
• Antonella Pontoriero, PSYD
• Frank David Potera, DC
• Powerback Willow Grove
• Prajal RX LLC (Pharmacy of Hatboro)
• Albert J. Principe, PTA
• Professional Clinical Forum
• Promedica Senior Care of Willow Grove PA, LLC (ProMedica Total Rehab (Willow Grove))
• Radiant Life Chiropractic LLC
• James Vincent Reginelli, RPH

• General Practice Dentistry in Hatboro, PA
• Providers in Hatboro, 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.