Special Care Dental of Pennsylvania-CKK LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DS036946 Issued in PA

Legal business name

SPECIAL CARE DENTAL OF PENNSYLVANIA-CKK LLC

Practice address

639 Red Lion Rd
Huntingdon Valley, PA 19006-6216

Phone

(855) 259-9183

Fax

(800) 485-1881

NPI assigned

Mar 29, 2012

Organization subpart

No

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

Authorized official

Name

Christopher Krowicki, D.D.S.

Title

President

Phone

(855) 259-9183

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1801162219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 RED LION RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066216",
            "telephone_number": "855-259-9183",
            "fax_number": "800-485-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 RED LION RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066216",
            "telephone_number": "855-259-9183",
            "fax_number": "800-485-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL CARE DENTAL OF PENNSYLVANIA-CKK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "KROWICKI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-259-9183",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS036946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ornella Elena Sofitchouk, RD
• Sonata Endocrinology
• Sonex Ultrasound Inc
• Southeastern Emergency Medical Service
• Monica Renee Spanninger, CRS
• Special Care Hearing of Pennsylvania LLC
• Special Care Podiatry of Pennsylvania, LLC
• Jonathan Spector, BEHAVIOR CONSULTANT
• Spectrum Wellness LLC
• Speech Starts Hear, LLC

• Dentist in Huntingdon Valley, PA
• Providers in Huntingdon Valley, PA by specialty
• Dentist in Pennsylvania

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