Little Bear Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

LITTLE BEAR PEDIATRIC DENTISTRY

Practice address

650 Carnegie Blvd
Malvern, PA 19355-8519

Phone

(484) 238-0348

NPI assigned

Aug 3, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Nuthyla Sinada Skuja, DDSNPI 1710148259

Title

Pediatric Dentist Ceo

Phone

(484) 238-0348

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nuthyla Sinada Skuja, D.D.S.

  • Pediatric Dentistry
  • West Grove, PA
  • NPI 1710148259
  NPD Authorized official

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1649907312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 CARNEGIE BLVD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193558519",
            "telephone_number": "484-238-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CARNEGIE BLVD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193558519",
            "telephone_number": "484-238-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE BEAR PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "SKUJA",
        "authorized_official_first_name": "NUTHYLA",
        "authorized_official_middle_name": "SINADA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST CEO",
        "authorized_official_telephone_number": "484-238-0348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Malvern, PA
• Providers in Malvern, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.