Paoli Dental Arts, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS027921L Issued in PA

Legal business name

PAOLI DENTAL ARTS, LLC

Practice address

1800 E Lancaster Ave
Paoli, PA 19301-1533

Phone

(610) 651-5611

Fax

(610) 651-0488

NPI assigned

Mar 18, 2011

Last updated

Mar 18, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dawn Prisco

Title

Office Manager

Phone

(215) 568-8130

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1659670479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E LANCASTER AVE",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011533",
            "telephone_number": "610-651-5611",
            "fax_number": "610-651-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E LANCASTER AVE",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011533",
            "telephone_number": "610-651-5611",
            "fax_number": "610-651-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAOLI DENTAL ARTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "PRISCO",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-568-8130",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS027921L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Pallante, FNP-BC
• Shayne K Palmer, MS
• Jon Panucci, D.C
• Paoli Apothecary LLC (Strarr Pharmacy Services Inc d/b/a Paoli Apothecary)
• Paoli Chiropractic Group, LLC
• Paoli Family Dentistry LLC
• Paoli Family Medicine
• Paoli Fire Co
• Paoli Hematology-Oncology Associates PC
• Paoli Internal Medicine Associates PC

• General Practice Dentistry in Paoli, PA
• Providers in Paoli, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.