John Fadel, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS044608 Issued in PA

Practice address

123 Old York Rd Ste 1
Jenkintown, PA 19046-3926

Phone

(215) 635-6900

NPI assigned

Jun 3, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jenkintown Dental Pavilion LLC

  • General Practice Dentistry
  • Jenkintown, PA
  • NPI 1649116609
  NPD (past)

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1770324840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 WYNDRISE DR",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222902",
            "telephone_number": "215-805-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 OLD YORK RD STE 1",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463926",
            "telephone_number": "215-635-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADEL",
        "first_name": "JOHN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS044608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Erwin, M.D.
• Eternally Grateful Caregivers LLC
• Juanita Evans, MS
• Takia Chantell Evans, RN, CRNP
• Edward J Eybs, RPH. PRS.
• Hawah Fahnbulleh
• Faith Medical Associates, Inc
• Molly Fendrick
• Pamela Ann Fenstemacher, M.D.
• Cynthia Fernandez

• General Practice Dentistry in Jenkintown, PA
• Providers in Jenkintown, 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 Jun 3, 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.