Organization Active NPI

Au Dental

  • Dental Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1538393392
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DS037672 Issued in PA
Legal business name
AU DENTAL
Practice address
10000 Roosevelt Blvd
Philadelphia, PA 19116-3901
Phone
(215) 676-0222
Fax
(215) 676-0224
NPI assigned
May 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Authorized official

Name
Gagan Uppal, DMD
Title
Dentist/Owner
Phone
(215) 676-0222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DS037672 PA Primary

Addresses

Primary practice location

10000 Roosevelt Blvd
Philadelphia, PA 19116-3901

Mailing address

10000 Roosevelt Blvd
Philadelphia, PA 19116-3901
Phone (215) 676-0222

National Provider Directory

National Provider Directory

Locations

10000 Roosevelt Blvd
Philadelphia, PA 19116
Phone (215) 676-0222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1538393392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163901",
            "telephone_number": "215-676-0222",
            "fax_number": "215-676-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163901",
            "telephone_number": "215-676-0222",
            "fax_number": "215-676-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AU DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-08",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "UPPAL",
        "authorized_official_first_name": "GAGAN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "215-676-0222",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS037672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.