Dental Beauty Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DS038323 Issued in PA

Legal business name

DENTAL BEAUTY INC

Practice address

721 Bustleton Pike
Suite B
Feasterville Trevose, PA 19053-6055

Phone

(267) 266-6866

NPI assigned

Aug 28, 2016

Last updated

Aug 28, 2016By 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

Dr. Andrey KurudimovNPI 1649581703

Title

President

Phone

(267) 266-6866

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrey Kurudimov, DMD

  • General Practice Dentistry
  • Feasterville, PA
  • NPI 1649581703
  Authorized official Same address or phone

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1629524897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CHARLOTTE AVE",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663241",
            "telephone_number": "267-266-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 BUSTLETON PIKE",
            "address_2": "SUITE B",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536055",
            "telephone_number": "267-266-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL BEAUTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "KURUDIMOV",
        "authorized_official_first_name": "ANDREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-266-6866",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS038323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Bruce Daniels, D.M.D.
• Zarina Davidova, PHARMD
• Kelsey Dekoyer, CCC-SLP
• Lynn Dellapietra, PH.D.
• Anthony Joseph Demaria, RPH
• Dentistry for Children and Adults LLC
• Judith Derosa
• Diabetes and Endocrinology Consultants of Pennsylvania LLC (Decpa LLC)
• Michael Dillon, MSPT
• Maya Divack, DPT

• Dental Clinic/Center in Feasterville Trevose, PA
• Providers in Feasterville Trevose, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.