Pennbrook Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PENNBROOK DENTISTRY

Practice address

298 Wissahickon Ave Ste 3
North Wales, PA 19454-4156

Phone

(215) 699-1009

Fax

(215) 699-1022

NPI assigned

Mar 30, 2021

Last updated

Dec 5, 2021By 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. Priya Patel, DDSNPI 1194104604

Title

Owner

Phone

(828) 508-6940

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Priya Santilal Patel, DDS

  • General Practice Dentistry
  • North Wales, PA
  • NPI 1194104604
  NPD Authorized official
• Peter J Bullock, DMD

  • Dentist
  • Quakertown, PA
  • NPI 1114309374
  NPD (past)
• Jennifer Gail Duncan, D.M.D

  • General Practice Dentistry
  • North Wales, PA
  • NPI 1235397225
  NPD (past)

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638662400000",
    "number": "1720666845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 WISSAHICKON AVE STE 3",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194544156",
            "telephone_number": "215-699-1009",
            "fax_number": "215-699-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 WISSAHICKON AVE STE 3",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194544156",
            "telephone_number": "215-699-1009",
            "fax_number": "215-699-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNBROOK DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-12-05",
        "certification_date": "2021-12-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-508-6940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reema M Patel, MOT, OTR/L
• Roshani Anil Patel, FNP
• David E Payne, PSY.D.
• Sarah Marie Graham Payne, LPC
• Eric Scott Pelletier, PT DPT PCS C/NDT
• Pennsylvania CVS Pharmacy LLC (CVS Pharmacy #16521)
• Christopher James Pentes, OD
• Anastasia Perry, OD
• Isabella Valerie Peters, PTA
• Phase One Home Health LLC

• Dental Clinic/Center in North Wales, PA
• Providers in North Wales, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2021; 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.