Organization Active NPI

Mazzone Dentistry PLLC

Doing business as Children's Dental Specialist & Adult Dentistry PA

  • Pediatric Dentistry
  • Warrington, PA
National Provider Identifier
1639990351
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
MAZZONE DENTISTRY PLLC
Doing business as
Children's Dental Specialist & Adult Dentistry PA
Practice address
847 Easton Rd Ste 2600
Warrington, PA 18976-2907
Phone
(215) 918-5630
NPI assigned
Oct 24, 2024
Last updated
Oct 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Authorized official

Name
Jenny Garcia-Rocha
Title
Sr Credentialing Team Lead
Phone
(972) 869-3789

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X

Addresses

Primary practice location

847 Easton Rd Ste 2600
Warrington, PA 18976-2907

Mailing address

847 Easton Rd Ste 2600
Warrington, PA 18976-2907

Other names 1

  • Children's Dental Specialist & Adult Dentistry PA Doing business as

National Provider Directory

National Provider Directory

Locations

847 Easton Rd
Ste 2600
Warrington, PA 18976
Phone (215) 447-5234

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1639990351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 EASTON RD STE 2600",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189762907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 EASTON RD STE 2600",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189762907",
            "telephone_number": "215-918-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZZONE DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "GARCIA-ROCHA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "SR CREDENTIALING TEAM LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Dental Specialist & Adult Dentistry PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warrington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.