Philadelphia Dental Laser & Cosmetic Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PHILADELPHIA DENTAL LASER & COSMETIC DENTISTRY LLC

Practice address

3016 Township Line Rd
Drexel Hill, PA 19026-1823

Phone

(610) 888-3291

Fax

(484) 454-3744

NPI assigned

Apr 1, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Barbara Ann Tarnoski, DMD

Title

Co-Owner

Phone

(610) 888-3291

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1699237602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 TOWNSHIP LINE RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261823",
            "telephone_number": "610-888-3291",
            "fax_number": "484-454-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 TOWNSHIP LINE RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261823",
            "telephone_number": "610-888-3291",
            "fax_number": "484-454-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA DENTAL LASER & COSMETIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "TARNOSKI",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "610-888-3291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.