Organization Active NPI

Solomon Dental Coproration

  • Dentist
  • East Stroudsburg, PA
National Provider Identifier
1588903447
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
021131R Issued in PA
Legal business name
SOLOMON DENTAL COPRORATION
Practice address
175 E. Brown St. Suite 112
Pocono Medical BLDG.- Solomon Dental Corp.
East Stroudsburg, PA 18301
Phone
(570) 424-2990
Fax
(570) 424-8174
NPI assigned
Feb 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Authorized official

Name
Dr. Paul David Solomon, DDSNPI 1023124468
Title
Owner
Phone
(570) 424-2990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 021131R PA Primary

Addresses

Primary practice location

175 E. Brown St. Suite 112
Pocono Medical BLDG.- Solomon Dental Corp.
East Stroudsburg, PA 18301

Mailing address

175 E. Brown St. Suite 112
Pocono Medical BLDG.- Solomon Dental Corp.
East Stroudsburg, PA 18301
Phone (570) 424-2990

National Provider Directory

National Provider Directory

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": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1588903447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E. BROWN ST. SUITE 112",
            "address_2": "POCONO MEDICAL BLDG.- SOLOMON DENTAL CORP.",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "18301",
            "telephone_number": "570-424-2990",
            "fax_number": "570-424-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E. BROWN ST. SUITE 112",
            "address_2": "POCONO MEDICAL BLDG.- SOLOMON DENTAL CORP.",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "18301",
            "telephone_number": "570-424-2990",
            "fax_number": "570-424-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLOMON DENTAL COPRORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-424-2990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "021131R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.