Pennsylvania Center for Dental Sleep Medicine PC

Primary specialty

DentistTaxonomy code 122300000X

License

24985 Issued in PA

Legal business name

PENNSYLVANIA CENTER FOR DENTAL SLEEP MEDICINE PC

Practice address

1225 Carlisle St Ste 1B
Hanover, PA 17331

Phone

(717) 632-1332

Fax

(270) 637-0207

NPI assigned

Aug 17, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Terry M Gordon, DDSNPI 1821058314

Title

President/Dental Director

Phone

(717) 632-1332

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terry M Gordon, DDS

  • Dentist
  • Hanover, PA
  • NPI 1821058314
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530230400000",
    "number": "1619225810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 CARLISLE ST STE 1B",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311207",
            "telephone_number": "717-632-1332",
            "fax_number": "270-637-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 CARLISLE ST STE 1B",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "17331",
            "telephone_number": "717-632-1332",
            "fax_number": "270-637-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA CENTER FOR DENTAL SLEEP MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-17",
        "last_updated": "2018-06-29",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/DENTAL DIRECTOR",
        "authorized_official_telephone_number": "717-632-1332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "24985",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ralph Ronald Perrone, LMFT

• Dentist in Hanover, PA
• Providers in Hanover, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.