Bournias/Cervone/Derlink Dental & Associates, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BOURNIAS/CERVONE/DERLINK DENTAL & ASSOCIATES, LLC

Practice address

1015 Grove St
Meadville, PA 16335-2944

Phone

(814) 336-4304

Fax

(814) 336-4303

NPI assigned

Apr 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph F Cervone I, D.M.D.

Title

Owner

Phone

(814) 336-4304

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1750346805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352944",
            "telephone_number": "814-336-4304",
            "fax_number": "814-336-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352944",
            "telephone_number": "814-336-4304",
            "fax_number": "814-336-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOURNIAS/CERVONE/DERLINK DENTAL & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "CERVONE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-336-4304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thea Marie Blystone, PHARMD.
• Angela Bohlender, PTA
• Tina Borgia
• Carolyn Boughner, PT, DPT
• Alexander L Bournias, DDS
• Sidony Bowen-Cherry, CRNP
• Amanda F Bowes, PA-C
• Amy Lynn Brennan, CRNA
• Ryan Brennan
• Autumn Rejoice Bridger, D.O.

• General Practice Dentistry in Meadville, PA
• Providers in Meadville, 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 Sep 22, 2010; 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.