NPIMap

Organization Active NPI

Eagle Family Dentistry, LLC

  • Dental Clinic/Center
  • Chester Springs, PA
National Provider Identifier
1528325008
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
EAGLE FAMILY DENTISTRY, LLC
Practice address
72 Pottstown Pike
Suite 203
Chester Springs, PA 19425-9564
Phone
(610) 458-5165
NPI assigned
Apr 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Authorized official

Name
Dr. Mira Della Croce, D.M.D.
Title
President
Phone
(215) 200-7883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X PA Primary

Addresses

Primary practice location

72 Pottstown Pike
Suite 203
Chester Springs, PA 19425-9564

Mailing address

72 Pottstown Pike
Suite 203
Chester Springs, PA 19425-9564
Phone (610) 458-5165

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1528325008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 POTTSTOWN PIKE",
            "address_2": "SUITE 203",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194259564",
            "telephone_number": "610-458-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 POTTSTOWN PIKE",
            "address_2": "SUITE 203",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194259564",
            "telephone_number": "610-458-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "DELLA CROCE",
        "authorized_official_first_name": "MIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-200-7883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester Springs, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.