NPIMap

Organization Active NPI

GD PA PLLC

Doing business as West Market Dental Care

  • Dental Clinic/Center
  • Pottsville, PA
National Provider Identifier
1699332908
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GD PA PLLC
Doing business as
West Market Dental Care
Practice address
620 W Market St
Pottsville, PA 17901-2868
Phone
(570) 622-7436
Fax
(570) 628-4680
NPI assigned
May 22, 2019
Last updated
May 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Authorized official

Name
Mrs. Melissa Ann Dugan
Title
Manager
Phone
(484) 809-5167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

620 W Market St
Pottsville, PA 17901-2868

Mailing address

620 W Market St
Pottsville, PA 17901-2868
Phone (570) 622-7436

Other names 1

  • West Market Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

620 W Market St
Pottsville, PA 17901
Phone (570) 622-7436

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1699332908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W MARKET ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012868",
            "telephone_number": "570-622-7436",
            "fax_number": "570-628-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W MARKET ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012868",
            "telephone_number": "570-622-7436",
            "fax_number": "570-628-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GD PA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "DUGAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "484-809-5167",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Market Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pottsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.