Havertown Dental Associates PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS026283L Issued in PA

Legal business name

HAVERTOWN DENTAL ASSOCIATES PC

Practice address

1220 West Chester Pike
Havertown, PA 19083

Phone

(610) 789-0158

Fax

(610) 789-9238

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Jorgen Svenson, DMD DDS

Title

Co Owner

Phone

(610) 789-0158

Specialties & licenses 2

Addresses

Other names 1

• S-Corp Former legal business name

Locations

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700990702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 WEST CHESTER PIKE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "19083",
            "telephone_number": "610-789-0158",
            "fax_number": "610-789-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 WEST CHESTER PIKE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "19083",
            "telephone_number": "610-789-0158",
            "fax_number": "610-789-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVERTOWN DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SVENSON",
        "authorized_official_first_name": "JORGEN",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "610-789-0158",
        "authorized_official_credential": "DMD DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS026283L",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS020558L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S-Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Nicole Harnwell
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• Haverford Anesthesia Associates, PC
• Haverford TWSP. School District
• Havertown Family Dentistry
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• Havertown Smile Studio LLC
• Havertown Wellness Center

• General Practice Dentistry in Havertown, PA
• Providers in Havertown, 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 Aug 22, 2020; 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.