Mountainville Dental Associates, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MOUNTAINVILLE DENTAL ASSOCIATES, LLC

Practice address

2004 S 5TH St
Allentown, PA 18103-6802

Phone

(610) 791-2307

NPI assigned

Sep 28, 2021

Organization subpart

No

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

Authorized official

Name

R Patricia Hower

Title

Credentialing Specialist

Phone

(215) 798-4027

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1811669955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 S 5TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036802",
            "telephone_number": "610-791-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 S 5TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036802",
            "telephone_number": "610-791-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINVILLE DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "HOWER",
        "authorized_official_first_name": "R PATRICIA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "215-798-4027"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellee Ann Mory, FNP-BC
• Karla Lynette Moses
• Kelly Mosher, MD
• Sheila Wilson Mosley, MHSA
• Robert J Motley, MD
• Mountainville Dental of Lehigh, PC
• Mountainville Dental PLLC
• Natalie Christine Moursalian, DPM
• John Blaine Mowery Jr., MD
• Amy Moyer, DENTAL HYGIENIST

• General Practice Dentistry in Allentown, PA
• Providers in Allentown, 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 Sep 28, 2021; 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.