Edward M. Segal, D.D.S., Associates

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DS035533 Issued in PA

Legal business name

EDWARD M. SEGAL, D.D.S., ASSOCIATES

Practice address

6508 Ridgeavenue
Philadelphia, PA 19128

Phone

(215) 482-0504

Fax

(215) 487-3896

NPI assigned

Oct 18, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Donna M Reed

Title

Office Manager

Phone

(215) 482-0504

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1821308487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6508 RIDGE AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19128",
            "telephone_number": "215-482-0504",
            "fax_number": "215-487-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6508 RIDGEAVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19128",
            "telephone_number": "215-482-0504",
            "fax_number": "215-487-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD M. SEGAL, D.D.S., ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-482-0504",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS035533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michelle Edward
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• Nafisah Edwards-Rasul
• Celina Edwards
• Christopher Edwards, MD

• Endodontics in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Endodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.