Joseph J Havrilla DDS Inc

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DS024390-L Issued in PA

Legal business name

JOSEPH J HAVRILLA DDS INC

Practice address

2004 Sproul Rd
Suite 204
Broomall, PA 19008

Phone

(610) 328-9608

Fax

(610) 328-5549

NPI assigned

May 25, 2007

Last updated

Nov 19, 2025By 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. Joseph J Havrilla, DDSNPI 1295954618

Title

President

Phone

(610) 328-9608

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.

• Joseph John Havrilla, DDS

  • Periodontics
  • Broomall, PA
  • NPI 1295954618
  NPD Authorized official

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1639380033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 W SPROUL RD",
            "address_2": "SUITE 108",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190641254",
            "telephone_number": "610-328-9608",
            "fax_number": "610-328-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 SPROUL RD",
            "address_2": "SUITE 204",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "19008",
            "telephone_number": "610-328-9608",
            "fax_number": "610-328-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH J HAVRILLA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "HAVRILLA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-328-9608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS024390-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamaal Deon Johnson
• Shanel Johnson, BEHAVIOR TECHNICIAN
• Dana Jolley, M.S., CCC-SLP
• Brittney Jones, PA-C
• Trevor Pearce Jones
• Joseph Labricciosa D.O., P.C.
• Joseph Spina, Jr.,,M.D.Associates
• Hannah Alexis Juliano, CRNP
• Michael Jurski
• Ciarnee Moon Jury, BEHAVIOR TECHNICIAN

• Periodontics in Broomall, PA
• Providers in Broomall, PA by specialty
• Periodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.