Organization Active NPI

SDDB Shvarts PLLC

Doing business as Pennsylvania Center for Advanced Dentistry

  • Dental Clinic/Center
  • Southampton, PA
National Provider Identifier
1720789977
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SDDB SHVARTS PLLC
Doing business as
Pennsylvania Center for Advanced Dentistry
Practice address
602 Lakeside Park
Southampton, PA 18966-4000
Phone
(215) 396-9515
Fax
(215) 396-9517
NPI assigned
Mar 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Dr. Olga Shvarts, DMDNPI 1679911929
Title
Dentist
Phone
(215) 802-6015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

602 Lakeside Park
Southampton, PA 18966-4000

Mailing address

5 Dover PL
Southampton, PA 18966-2596
Phone (215) 802-6015

Other names 1

  • Pennsylvania Center for Advanced Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

602 Lakeside Park
Southampton, PA 18966
Phone (215) 396-9515

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1720789977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DOVER PL",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189662596",
            "telephone_number": "215-802-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 LAKESIDE PARK",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664000",
            "telephone_number": "215-396-9515",
            "fax_number": "215-396-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDDB SHVARTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "SHVARTS",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "215-802-6015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pennsylvania Center for Advanced Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.