RRG Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS036626 Issued in PA

Legal business name

RRG DENTAL, LLC

Doing business as

Paoli Family Dentistry

Practice address

1410 Russell Rd
Suite 204
Paoli, PA 19301-1200

Phone

(267) 417-7501

NPI assigned

Apr 21, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Rajeev Gowda

Title

Owner

Phone

(267) 417-7501

Specialties & licenses 1

Addresses

Other names 1

• Paoli Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1629422076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 N BETHLEHEM PIKE",
            "address_2": "APT B",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190022524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 RUSSELL RD",
            "address_2": "SUITE 204",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011200",
            "telephone_number": "267-417-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RRG DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "GOWDA",
        "authorized_official_first_name": "RAJEEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-417-7501",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paoli Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Rountree, LCSW
• Mary N Roy, MD
• Megan Roy
• Royer-Greaves School for Blind
• Royer-Greaves School for Blind
• Todd Jonathan Rudo, MD
• Robert A Ruggiero Jr., M.D.
• Barak J Rush, MS, LPC
• William Joseph Rusnak, M.D.
• John Ryan, D.P.T.

• General Practice Dentistry in Paoli, PA
• Providers in Paoli, 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 Apr 21, 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.