Active NPI
Jenkintown Dental Pavilion LLC
- General Practice Dentistry
- Jenkintown, PA
National Provider Identifier
1649116609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- JENKINTOWN DENTAL PAVILION LLC
- Practice address
- 123 Old York Rd Ste 1
Jenkintown, PA 19046-3926 - Phone
- (215) 635-6900
- NPI assigned
- Apr 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Medha K Patel, DDS
- Title
- Dentist
- Phone
- (267) 818-0696
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
123 Old York Rd Ste 1
Jenkintown, PA 19046-3926
Mailing address
123 Old York Rd Ste 1
Jenkintown, PA 19046-3926
Phone (215) 635-6900
National Provider Directory
National Provider DirectoryLocations
123 Old York Rd
Ste 1
Jenkintown, PA 19046
Phone (215) 635-6900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Jenkintown, PA
- NPI 1770324840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776902400000",
"number": "1649116609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 OLD YORK RD STE 1",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190463926",
"telephone_number": "215-635-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 OLD YORK RD STE 1",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190463926",
"telephone_number": "215-635-6900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENKINTOWN DENTAL PAVILION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-23",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "MEDHA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "267-818-0696",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jenkintown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.