William Penn Dental Center

Primary specialty

DentistTaxonomy code 122300000X

License

DS038126 Issued in PA

Legal business name

WILLIAM PENN DENTAL CENTER

Practice address

701 Village at Stones Crossing Rd
701 Village at Stones Crossing Road
Easton, PA 18045-5081

Phone

(610) 258-2000

Fax

(610) 258-2400

NPI assigned

Sep 7, 2012

Last updated

Sep 7, 2012By 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. Matthew Ghadami, D.D.S.

Title

General Dentist

Phone

(610) 258-2000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1710236526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 VILLAGE AT STONES CROSSING RD",
            "address_2": "701 VILLAGE AT STONES CROSSING ROAD",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455081",
            "telephone_number": "610-258-2000",
            "fax_number": "610-258-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 VILLAGE AT STONES CROSSING RD",
            "address_2": "701 VILLAGE AT STONES CROSSING ROAD",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455081",
            "telephone_number": "610-258-2000",
            "fax_number": "610-258-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM PENN DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "GHADAMI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "610-258-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS038126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Wilchek, CRNP
• Elizabeth Wilder-Harvey
• Christine Michele Wilke, EDS LMFT
• Brian McKinley Willard, MD
• Donald Earl Willard Jr., M.D.
• William Penn Dental P.C.
• William Penn Dentistry PC
• William Vogt DDS PC
• Williams TWSP EMS
• Kym Williams, M.S.ED.,M.S. CCC-SLP

• Dentist in Easton, PA
• Providers in Easton, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.