Trappe Family Dental Associates, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS035433 Issued in PA

Legal business name

TRAPPE FAMILY DENTAL ASSOCIATES, LLC

Practice address

219 W Main St
Trappe, PA 19426-2000

Phone

(610) 489-8331

Fax

(610) 489-1563

NPI assigned

Apr 4, 2007

Last updated

Aug 22, 2020By 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

Soo Sun Lee, DMDNPI 1033131297

Title

Owner

Phone

(610) 613-9177

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Soo S. Lee, D.M.D.

  • General Practice Dentistry
  • Trappe, PA
  • NPI 1033131297
  NPD (past) Authorized official
• Haesung Chung, DDS

  • General Practice Dentistry
  • Trappe, PA
  • NPI 1124140645
  NPD (past)
• Donna A. Delany, D.M.D.

  • General Practice Dentistry
  • Trappe, PA
  • NPI 1346262516
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821110313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 WESLEYS RUN",
            "city": "GLADWYNE",
            "state": "PA",
            "postal_code": "190351049",
            "telephone_number": "610-613-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W MAIN ST",
            "city": "TRAPPE",
            "state": "PA",
            "postal_code": "194262000",
            "telephone_number": "610-489-8331",
            "fax_number": "610-489-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAPPE FAMILY DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SOO",
        "authorized_official_middle_name": "SUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-613-9177",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Gordon Scully, L.AC.
• Geetha Srinivasan, DMD
• Rebecca Magill Sturner, R.N.
• Douglas R Swede, DC
• Total Body Wellness
• Trappe Family Eyecare, Inc
• Trappe Fire Company No 1
• Tifane De Los Reyes Visitacion-Voras, MSN BSN RN PMHNP-BC
• Melissa Ann Volk, DPT
• Adrianne Wagner, LMFT

• General Practice Dentistry in Trappe, PA
• Providers in Trappe, 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.