Bristol Dental Group

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

BRISTOL DENTAL GROUP

Practice address

900 Old Orchard LN
Suite a
Bristol, PA 19007-6414

Phone

(215) 971-5544

NPI assigned

Mar 29, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Arkadiy Viron

Title

Owner

Phone

(215) 971-5544

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1619330552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 OLD ORCHARD LN",
            "address_2": "SUITE A",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190076414",
            "telephone_number": "215-971-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 OLD ORCHARD LN",
            "address_2": "SUITE A",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190076414",
            "telephone_number": "215-971-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "VIRON",
        "authorized_official_first_name": "ARKADIY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-971-5544",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Gladys Brendlinger, D.C.
• Bridgepoint Pharmacy Inc
• Bristol Adult Day Center LLC
• Bristol Borough School District
• Bristol Cardiology PC
• Bristol Dialysis LLC
• Bristol Discount Pharmacy Inc
• Bristol Health & Rehab Center, LLC
• Bristol Rehabilitation and Healthcare Center LLC
• Inga A. Brockington, LCADC/ PASTORAL CARE

• Preferred Provider Organization in Bristol, PA
• Providers in Bristol, PA by specialty
• Preferred Provider Organization in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.