Gtown Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS040526 Issued in PA

Legal business name

GTOWN DENTAL LLC

Doing business as

G Town Dental

Practice address

5616 Germantown Ave
Philadelphia, PA 19144-2228

Phone

(267) 335-2181

NPI assigned

Aug 14, 2017

Last updated

Jul 21, 2022By 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

Dmitry Demchuk

Title

Office Manager

Phone

(267) 335-2181

Specialties & licenses 1

Addresses

Other names 1

• G Town Dental Doing business as

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1598281396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5616 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442228",
            "telephone_number": "267-335-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5616 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442228",
            "telephone_number": "267-335-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GTOWN DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DEMCHUK",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "267-335-2181"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "G Town Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jieun Gu, M. A., LPC
• Liang Gu, MD

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.