Access Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS038352 Issued in PA

Legal business name

ACCESS DENTAL LLC

Practice address

340 Commons Dr
Parkesburg, PA 19365-2154

Phone

(484) 237-4054

NPI assigned

Jul 29, 2012

Last updated

Jul 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sheeba Shaju, DDS

Title

Dental Director

Phone

(484) 237-4054

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1343520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343520000000",
    "number": "1790031623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MADISON WAY",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193355329",
            "telephone_number": "484-237-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 COMMONS DR",
            "city": "PARKESBURG",
            "state": "PA",
            "postal_code": "193652154",
            "telephone_number": "484-237-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-29",
        "last_updated": "2012-07-29",
        "status": "A",
        "authorized_official_last_name": "SHAJU",
        "authorized_official_first_name": "SHEEBA",
        "authorized_official_title_or_position": "DENTAL DIRECTOR",
        "authorized_official_telephone_number": "484-237-4054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659683464",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Abramczyk, DO
• Jeffrey Richard Blair, D.M.D.
• Laura Ann Boarts
• James Richard Brown, RPH
• Chester County Pediatrics PC
• Matthew Erick Clark, ATC

• General Practice Dentistry in Parkesburg, PA
• Providers in Parkesburg, 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 Jul 29, 2012; 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.