Qualdent

Primary specialty

DentistTaxonomy code 122300000X

License

1275727430 Issued in NJ

Legal business name

QUALDENT

Practice address

2600 Philmont Ave
Suite 212-a
Huntingdon Valley, PA 19006-5306

Phone

(610) 619-0061

NPI assigned

Jan 9, 2017

Organization subpart

No

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

Authorized official

Name

Dr. David Williams

Title

Ceo

Phone

(609) 760-6256

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1669918090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 PHILMONT AVE",
            "address_2": "SUITE 212-A",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190065306",
            "telephone_number": "610-619-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 PHILMONT AVE",
            "address_2": "SUITE 212-A",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190065306",
            "telephone_number": "610-619-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALDENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-760-6256",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "1275727430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Huntingdon Valley, PA
• Providers in Huntingdon Valley, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.