Organization Active NPI

Exton Kids Dental Corner

  • Pediatric Dentistry
  • Exton, PA
National Provider Identifier
1750145868
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
EXTON KIDS DENTAL CORNER
Practice address
356 N Pottstown Pike
Exton, PA 19341-2246
Phone
(484) 252-2056
NPI assigned
Feb 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Dr. Anil Shah, DDSNPI 1043654098
Title
President
Phone
(201) 248-1286

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

356 N Pottstown Pike
Exton, PA 19341-2246

Mailing address

823 Turnbridge Rd
Wayne, PA 19087-2071
Phone (201) 248-1286

Other names 2

  • Exton Kids Dental Doing business as
  • Exton Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

356 N Pottstown Pike
Exton, PA 19341
Phone (484) 252-2056

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": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1750145868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 TURNBRIDGE RD",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190872071",
            "telephone_number": "201-248-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 N POTTSTOWN PIKE",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412246",
            "telephone_number": "484-252-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTON KIDS DENTAL CORNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ANIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-248-1286",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Exton Kids Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Exton Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.