Advara Dental & Dentures Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ADVARA DENTAL & DENTURES INC

Practice address

4640 High Pointe Blvd
Suite 72
Harrisburg, PA 17111-2463

Phone

(717) 564-4600

Fax

(714) 564-4601

NPI assigned

Feb 6, 2014

Organization subpart

No

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

Authorized official

Name

Patricia Greene

Title

Owner

Phone

(717) 564-4600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1780008169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 HIGH POINTE BLVD",
            "address_2": "SUITE 72",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112463",
            "telephone_number": "717-564-4600",
            "fax_number": "714-564-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 HIGH POINTE BLVD",
            "address_2": "SUITE 72",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112463",
            "telephone_number": "717-564-4600",
            "fax_number": "714-564-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVARA DENTAL & DENTURES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-564-4600"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.