Organization Active NPI

Goshen Dental Health LLC

  • General Practice Dentistry
  • West Chester, PA
National Provider Identifier
1548838410
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GOSHEN DENTAL HEALTH LLC
Practice address
1450 E Boot Rd Ste 200E
West Chester, PA 19380-5999
Phone
(610) 692-8922
Fax
(610) 692-4121
NPI assigned
Jun 16, 2021
Last updated
Jun 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Authorized official

Name
Thomas Watson, DMD
Title
Owner
Phone
(610) 308-6609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1450 E Boot Rd Ste 200E
West Chester, PA 19380-5999

Mailing address

1450 E Boot Rd Ste 200E
West Chester, PA 19380-5999
Phone (610) 692-8922

National Provider Directory

National Provider Directory

Locations

1450 E Boot Rd
Ste 200E
West Chester, PA 19380
Phone (610) 692-8922

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1548838410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 E BOOT RD STE 200E",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193805999",
            "telephone_number": "610-692-8922",
            "fax_number": "610-692-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E BOOT RD STE 200E",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193805999",
            "telephone_number": "610-692-8922",
            "fax_number": "610-692-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSHEN DENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-308-6609",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.