Adelphia Dental Management Group, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ADELPHIA DENTAL MANAGEMENT GROUP, LLC

Practice address

10125 Verree Rd
Suite 101
Philadelphia, PA 19116-3611

Phone

(215) 277-2177

Fax

(267) 689-8990

NPI assigned

Oct 26, 2015

Last updated

Feb 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

Allen Alexander

Title

Owner

Phone

(215) 277-2177

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1720450190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10125 VERREE RD",
            "address_2": "SUITE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163611",
            "telephone_number": "215-277-2177",
            "fax_number": "267-689-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10125 VERREE RD",
            "address_2": "SUITE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163611",
            "telephone_number": "215-277-2177",
            "fax_number": "267-689-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADELPHIA DENTAL MANAGEMENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-277-2177"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Renee' Adeleke, PHARMD
• Bahar Adeli, MD
• Philip Adelizzi Jr., DPT
• Eric Adelman, LCSW
• Adelphia Dental Management
• Adelphia Dental Management LLC
• Emily Adelsberger, CRNP
• Hannah Adelsheimer Miller, OTR/L
• Robert T Adelson, MD
• Omotunde Ademola

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

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