Organization Active NPI

Cetronia Dental Associates

  • General Practice Dentistry
  • Allentown, PA
National Provider Identifier
1740452341
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS022812L Issued in PA
Legal business name
CETRONIA DENTAL ASSOCIATES
Practice address
3640 Broadway
Allentown, PA 18104-5216
Phone
(610) 395-0500
NPI assigned
Mar 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Dr. Ethan Allen Gearhart IV, D.D.S.NPI 1295819522
Title
Dentist/Owner
Phone
(610) 395-0500

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS022812L PA Primary

Addresses

Primary practice location

3640 Broadway
Allentown, PA 18104-5216

Mailing address

3640 Broadway
Allentown, PA 18104-5216
Phone (610) 395-0500

National Provider Directory

National Provider Directory

Locations

3640 Broadway
Allentown, PA 18104
Phone (610) 395-0500

Practitioners & affiliated clinicians

Practitioners 2

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": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1740452341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 BROADWAY",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045216",
            "telephone_number": "610-395-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 BROADWAY",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045216",
            "telephone_number": "610-395-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CETRONIA DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "GEARHART",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "610-395-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS022812L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.