Bedford Dental Health Center LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS041066 Issued in PA

Legal business name

BEDFORD DENTAL HEALTH CENTER LLC

Doing business as

Bedford Dental Health Center

Practice address

403 S Juliana St
Bedford, PA 15522-1825

Phone

(814) 623-8747

NPI assigned

Oct 12, 2016

Last updated

Oct 12, 2016By 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

Diane Romaine, DMD

Title

Owner

Phone

(240) 580-0277

Specialties & licenses 1

Addresses

Other names 1

• Bedford Dental Health Center Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frank M. Cullen, DDS

  • General Practice Dentistry
  • Bedford, PA
  • NPI 1316070832
  NPD (past)
• Essam Naguib Ibrahim, D.M.D.

  • Dentist
  • Bedford, PA
  • NPI 1336139625

  General Practice

  NPD (past)

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1679023741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 S JULIANA ST",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155221825",
            "telephone_number": "814-623-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 S JULIANA ST",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155221825",
            "telephone_number": "814-623-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD DENTAL HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "ROMAINE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-580-0277",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bedford Dental Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lois C Barron, LPC
• Lisa J. Bassi, LPC
• Denise Lynn Bauer, OTR
• Bedford Area Ambulance Service
• Bedford Area School District
• Bedford Dental Professional Corp
• Bedford Dermatology PLLC
• Bedford Family Chiropractic Center, P.C.
• Bedford Family Wellness LLC
• Bedford Medical Center

• General Practice Dentistry in Bedford, PA
• Providers in Bedford, 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 Oct 12, 2016; 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.