NPIMap

Organization Active NPI

Avalon Dental LLC

  • General Practice Dentistry
  • Wilmington, DE
National Provider Identifier
1669627113
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
G1-0001200 Issued in DE
Legal business name
AVALON DENTAL LLC
Practice address
6 Larch Ave
Unit 402
Wilmington, DE 19804-2300
Phone
(302) 999-8822
NPI assigned
Nov 25, 2008
Last updated
Nov 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Dr. Parham Farhi, DDS
Title
Owner Dr.
Phone
(267) 312-3184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X G1-0001200 DE Primary

Addresses

Primary practice location

6 Larch Ave
Unit 402
Wilmington, DE 19804-2300

Mailing address

6 Larch Ave
Unit 402
Wilmington, DE 19804-2300
Phone (302) 999-8822

National Provider Directory

National Provider Directory
Tax ID family
Avalon Dental LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6 Larch Ave
Unit 402
Wilmington, DE 19804
Phone (302) 999-8822

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1669627113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LARCH AVE",
            "address_2": "UNIT 402",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198042300",
            "telephone_number": "302-999-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 LARCH AVE",
            "address_2": "UNIT 402",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198042300",
            "telephone_number": "302-999-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "FARHI",
        "authorized_official_first_name": "PARHAM",
        "authorized_official_title_or_position": "OWNER DR.",
        "authorized_official_telephone_number": "267-312-3184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0001200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.