Bryn Mawr Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BRYN MAWR DENTAL LLC

Practice address

945 E Haverford Rd Ste 200
Bryn Mawr, PA 19010-3814

Phone

(610) 527-2469

NPI assigned

Aug 2, 2022

Organization subpart

No

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

Authorized official

Name

Mike Cole

Title

VP Insurance Plan Management

Phone

(727) 424-2990

Specialties & licenses 1

Addresses

Other names 1

• Dental Care Alliance Other name

Locations

Practitioners 2

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

• Paul K Bookman

  • General Practice Dentistry
  • Bryn Mawr, PA
  • NPI 1497835664
  NPD (past)
• Michael B Pavel, DMD

  • General Practice Dentistry
  • Bryn Mawr, PA
  • NPI 1316027592
  NPD (past)

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1679200422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 E HAVERFORD RD STE 200",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103814",
            "telephone_number": "610-527-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 E HAVERFORD RD STE 200",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103814",
            "telephone_number": "610-527-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYN MAWR DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VP INSURANCE PLAN MANAGEMENT",
        "authorized_official_telephone_number": "727-424-2990"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care Alliance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rachel Bruner
• Bryn Mawr College - Child Study Institute
• Bryn Mawr College Health Center
• Bryn Mawr Dental Associates LTD
• Bryn Mawr Dental Health Group Inc
• Bryn Mawr Foot & Ankle Center, LLC
• Bryn Mawr Healthcare Group, LLC
• Bryn Mawr Imaging
• Bryn Mawr Medical Specialists Association
• Bryn Mawr Medical Specialists Association

• Dentist in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.