Franklin Mills Mall Dental

Primary specialty

DentistTaxonomy code 122300000X

License

DS037088 Issued in PA

Legal business name

FRANKLIN MILLS MALL DENTAL

Practice address

1120 Franklin Mills Cir
Philadelphia, PA 19154-3128

Phone

(215) 632-7700

Fax

(215) 632-7709

NPI assigned

Nov 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Shreyas Shah, D.D.S.

Title

Dentist

Phone

(215) 632-7700

Specialties & licenses 2

Addresses

Tax ID family

Gallery Mall Dental PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gallery Mall Dental PC

  • Dentist
  • Philadelphia, PA
  • NPI 1902051535
  NPD tax ID

Locations

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1831426170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 FRANLKIN MILLS CIRCLE",
            "address_2": "FRANKLIN MILLS DENTAL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19154",
            "telephone_number": "215-632-7700",
            "fax_number": "215-632-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 FRANKLIN MILLS CIR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191543128",
            "telephone_number": "215-632-7700",
            "fax_number": "215-632-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN MILLS MALL DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SHREYAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "215-632-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037088",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037098",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frankie's World
• Frankies World Foundation
• Craig A Frankil, DO
• Franklin Cardiovascular Associates, PA
• Franklin Eye Care PC (Dr's Page and Ward)
• Franklin Towne Charter Elementary School
• Franklin Towne CHS
• Aviana Olivia Franklin
• Bethala Benjamin Franklin, M.D.
• Ciera Franklin

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.