Individual provider Active NPI

Mrunal Dave, DDS

  • General Practice Dentistry
  • Bethlehem, PA
National Provider Identifier
1609552827
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS044779 Issued in PA
Practice address
315 E Ettwein St
Bethlehem, PA 18018-4130
Phone
(610) 849-2042
NPI assigned
Jun 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS044779 PA Primary

Addresses

Primary practice location

315 E Ettwein St
Bethlehem, PA 18018-4130

Mailing address

315 E Ettwein St
Bethlehem, PA 18018-4130
Phone (610) 849-2042

Other practice location 1

141 E Emaus Ave
Allentown, PA 18103-5824
Phone (610) 365-3266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS044779PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bethlehem Smile Design LLC CurrentSince Jul 21, 2024 Accepting new patients

Locations

315 E Ettwein St
Bethlehem, PA 18018
Phone (610) 849-2042

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1609552827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E ETTWEIN ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180184130",
            "telephone_number": "610-849-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E ETTWEIN ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180184130",
            "telephone_number": "610-849-2042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 E Emaus Ave",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181035824",
            "country_code": "US",
            "telephone_number": "610-365-3266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVE",
        "first_name": "MRUNAL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-22",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS044779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.