Chestnuthill Dental Group, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS- 029560-L Issued in PA

Legal business name

CHESTNUTHILL DENTAL GROUP, P.C.

Practice address

Midtown Plaza, RT 209
Brodheadsville, PA 18322-1089

Phone

(570) 402-4001

Fax

(570) 402-4002

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James P. Newman, DMD

Title

Ceo

Phone

(570) 402-4001

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801958327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1089",
            "address_2": "MIDTOWN PLAZA, RT 209",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183221089",
            "telephone_number": "570-402-4001",
            "fax_number": "570-402-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MIDTOWN PLAZA, RT 209",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183221089",
            "telephone_number": "570-402-4001",
            "fax_number": "570-402-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTNUTHILL DENTAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-402-4001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS- 029560-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Brodheadsville, PA
• Providers in Brodheadsville, 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 Aug 22, 2020; 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.