Organization Active NPI

Jenkintown Dental Pavilion LLC

  • General Practice Dentistry
  • Jenkintown, PA
National Provider Identifier
1649116609
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Apr 23, 2026

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.