Active NPI
Dental Health and Healing
- Dental Clinic/Center
- Avondale, PA
National Provider Identifier
1649676206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- DS018325L
- Legal business name
- DENTAL HEALTH AND HEALING
- Practice address
- 307 Hillendale Rd
Avondale, PA 19311-9742 - Phone
- (610) 647-2755
- Fax
- (610) 444-5607
- NPI assigned
- Nov 10, 2014
- Last updated
- Nov 10, 2014
- 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
- Mrs. Gale Ann Moser
- Title
- Corporate Vice President
- Phone
- (610) 647-2755
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | DS018325L | PA | Primary |
Addresses
Primary practice location
307 Hillendale Rd
Avondale, PA 19311-9742
Mailing address
307 Hillendale Rd
Avondale, PA 19311-9742
Phone (610) 647-2755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DS018325L | Other | PA | STATE DENTAL LICENSE NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415577600000",
"number": "1649676206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 HILLENDALE RD",
"city": "AVONDALE",
"state": "PA",
"postal_code": "193119742",
"telephone_number": "610-647-2755",
"fax_number": "610-444-5607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 HILLENDALE RD",
"city": "AVONDALE",
"state": "PA",
"postal_code": "193119742",
"telephone_number": "610-647-2755",
"fax_number": "610-444-5607"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL HEALTH AND HEALING",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-10",
"last_updated": "2014-11-10",
"status": "A",
"authorized_official_last_name": "MOSER",
"authorized_official_first_name": "GALE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "CORPORATE VICE PRESIDENT",
"authorized_official_telephone_number": "610-647-2755",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "PA",
"license": "DS018325L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE DENTAL LICENSE NUMBER",
"identifier": "DS018325L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Avondale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.