Pennsbury Childrens Dental Health

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

PENNSBURY CHILDRENS DENTAL HEALTH

Practice address

400 N Buckstown Rd
Suite 1C
Langhorne, PA 19047-8310

Phone

(215) 750-1717

Fax

(215) 750-6109

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Russel T Bechtloff, DDS

Title

Owner

Phone

(215) 750-1717

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Pennsbury Childrens Dental Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Russel T Bechtloff DDS

  • Pediatric Dentistry
  • Langhorne, PA
  • NPI 1437298247
  NPD tax ID

Locations

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1740320308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N BUCKSTOWN RD",
            "address_2": "SUITE 1C",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190478310",
            "telephone_number": "215-750-1717",
            "fax_number": "215-750-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N BUCKSTOWN RD",
            "address_2": "SUITE 1C",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190478310",
            "telephone_number": "215-750-1717",
            "fax_number": "215-750-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSBURY CHILDRENS DENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "BECHTLOFF",
        "authorized_official_first_name": "RUSSEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-750-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "000752380",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Langhorne, PA
• Providers in Langhorne, PA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.