Dr. David J. Mondock DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS026883L Issued in PA

Legal business name

DR. DAVID J. MONDOCK DMD PC

Practice address

621 S 5TH St
Youngwood, PA 15697-1112

Phone

(724) 925-6816

Fax

(724) 925-1357

NPI assigned

Mar 23, 2007

Last updated

Feb 12, 2015By 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

Dr. David J Mondock, DMDNPI 1477944494

Title

President

Phone

(724) 925-6816

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• David Mondock

  • Dentist
  • Youngwood, PA
  • NPI 1477944494
  NPD (past) Authorized official

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1679690036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S 5TH ST",
            "city": "YOUNGWOOD",
            "state": "PA",
            "postal_code": "156971112",
            "telephone_number": "724-925-6816",
            "fax_number": "724-925-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S 5TH ST",
            "city": "YOUNGWOOD",
            "state": "PA",
            "postal_code": "156971112",
            "telephone_number": "724-925-6816",
            "fax_number": "724-925-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAVID J. MONDOCK DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "MONDOCK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-925-6816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS026883L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Youngwood, PA
• Providers in Youngwood, 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 Feb 12, 2015; 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.