Brinton Lake Dental Associates, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DS027954L Issued in PA

Legal business name

BRINTON LAKE DENTAL ASSOCIATES, LLC

Doing business as

Dentists at Brinton Lake

Practice address

145 Brinton Lake Rd
Suite 300
Glen Mills, PA 19342-1285

Phone

(610) 459-9963

Fax

(610) 459-8290

NPI assigned

Mar 21, 2016

Last updated

Mar 21, 2016By 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

Paige Elizabeth D'Angelo

Title

Chief Operating Officer

Phone

(609) 828-8986

Specialties & licenses 1

Addresses

Other names 1

• Dentists at Brinton Lake Doing business as

Locations

Practitioners 2

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.

• Varun Dhingra, DDS

  • Dentist
  • Glen Mills, PA
  • NPI 1124582242
  NPD (past)
• Michael Matkov

  • General Practice Dentistry
  • Glen Mills, PA
  • NPI 1861554065
  NPD (past)

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

{
    "created_epoch": "1458518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458518400000",
    "number": "1558723494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 BRINTON LAKE DRIVE",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "19342",
            "telephone_number": "610-459-9663",
            "fax_number": "610-459-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 BRINTON LAKE RD",
            "address_2": "SUITE 300",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421285",
            "telephone_number": "610-459-9963",
            "fax_number": "610-459-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRINTON LAKE DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-21",
        "last_updated": "2016-03-21",
        "status": "A",
        "authorized_official_last_name": "D'ANGELO",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "609-828-8986"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS027954L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists at Brinton Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Braslove, LCSW
• Lisa Brendlinger
• Julia Brewer
• Una Brewer, MD
• Brian J Murphy DO PC (Murphy Rehabilitation Center)
• Brinton Manor
• Brinton Manor Center SNF LLC
• Brinton Manor PA Opco LLC (Brinton Manor Nursing and Rehabilitation)
• Brinton Manor, Inc (Brinton Manor)
• Meghan Mary Brooks, DO

• Dentist in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.