Pennsylvania Dental Health PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS037689 Issued in PA

Legal business name

PENNSYLVANIA DENTAL HEALTH PC

Practice address

333 E Lancaster Ave
Ste 363
Wynnewood, PA 19096-1929

Phone

(877) 929-0030

Fax

(623) 321-1055

NPI assigned

Aug 9, 2010

Last updated

Apr 19, 2016By 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

Elliot Schlang

Title

Owner

Phone

(877) 929-0030

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1710292255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19820 N 7TH ST",
            "address_2": "SUITE 290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850241689",
            "telephone_number": "877-929-0030",
            "fax_number": "623-321-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E LANCASTER AVE",
            "address_2": "STE 363",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190961929",
            "telephone_number": "877-929-0030",
            "fax_number": "623-321-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA DENTAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "SCHLANG",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-929-0030"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Kliger Peltz, PHD LCSW LMFT
• Clifford Hollingsworth Pemberton
• Alexandra M Pendrak, CRNP
• Robert B Penne, MD
• Pennsylvania CVS Pharmacy LLC (CVS Pharmacy #10377)
• Alexis Pepe, CRNA
• Stephanie Nicole Perez
• Siobhan Perry
• Vincent Matthew Pestritto, M.D.
• Tess Petersen

• General Practice Dentistry in Wynnewood, PA
• Providers in Wynnewood, 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 Apr 19, 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.