Organization Active NPI

Swarthmore Dental Associates, LLC

  • Dental Clinic/Center
  • Swarthmore, PA
National Provider Identifier
1699127563
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DS028124L Issued in PA
Legal business name
SWARTHMORE DENTAL ASSOCIATES, LLC
Practice address
801 Yale Ave
Suite 619
Swarthmore, PA 19081-1808
Phone
(610) 328-4817
NPI assigned
Jul 5, 2016
Last updated
Jul 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Authorized official

Name
Dr. Laura Minsk, D.M.D.
Title
Periodontist/President
Phone
(610) 328-4815

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DS029928L PA
Dental Clinic/Center 261QD0000X DS028124L PA Primary

Addresses

Primary practice location

801 Yale Ave
Suite 619
Swarthmore, PA 19081-1808

Mailing address

801 Yale Ave
Suite 619
Swarthmore, PA 19081-1808
Phone (610) 328-4817

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1699127563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YALE AVE",
            "address_2": "SUITE 619",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190811808",
            "telephone_number": "610-328-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 YALE AVE",
            "address_2": "SUITE 619",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190811808",
            "telephone_number": "610-328-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWARTHMORE DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "MINSK",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PERIODONTIST/PRESIDENT",
        "authorized_official_telephone_number": "610-328-4815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS029928L",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS028124L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swarthmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.