Kop Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KOP DENTAL CARE

Practice address

600 W Dekalb Pike Ste 302
King of Prussia, PA 19406-3060

Phone

(484) 704-7670

NPI assigned

Aug 12, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Hadi Ghazzouli, DMD

Title

Co-Owner

Phone

(484) 704-7670

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Jenna Jane Chung, DMD

  • Dentist
  • King of Prussia, PA
  • NPI 1306519897
  NPD
• Candice Nicole Ghazzouli, DMD

  • General Practice Dentistry
  • Montoursville, PA
  • NPI 1245537604
  NPD (past)
• Joshua Heinsheimer, DMD

  • General Practice Dentistry
  • Collegeville, PA
  • NPI 1487116299
  NPD (past)
• Angela Marie Wimer, D.M.D.

  • Dentist
  • Honey Brook, PA
  • NPI 1023345808
  NPD (past)

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1730735283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W DEKALB PIKE STE 302",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063060",
            "telephone_number": "484-704-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W DEKALB PIKE STE 302",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063060",
            "telephone_number": "484-704-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOP DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "GHAZZOULI",
        "authorized_official_first_name": "HADI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "484-704-7670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bess Abramowitz Koenigsberg, M.D.
• Achaia Koennecke
• Darien Kokalari
• Bonnie Koo, M.D.
• Kop Community Pharmacy Inc
• Kop Endodontics LLC
• Brian M Korff, D.M.D.
• Prachi Dilip Kothari, DO
• Brandon Kotlyar
• Caroline Koury, RBT

• General Practice Dentistry in King of Prussia, PA
• Providers in King of Prussia, 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 Aug 12, 2019; 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.