Organization Active NPI

Dental Health and Healing

  • Dental Clinic/Center
  • Avondale, PA
National Provider Identifier
1649676206
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DS018325L Issued in PA
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DS018325LOtherPASTATE DENTAL LICENSE NUMBER

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.