Pro Dental Group PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PRO DENTAL GROUP PC

Practice address

7025 Bristol Pike
Levittown, PA 19057-4707

Phone

(215) 915-0505

Fax

(267) 585-3341

NPI assigned

Apr 27, 2023

Organization subpart

No

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

Authorized official

Name

Khamida BadalovaNPI 1851811319

Title

Owner / Dentist

Phone

(215) 313-1896

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khamida A Badalova, DMD

  • Dentist
  • Philadelphia, PA
  • NPI 1851811319
  NPD Authorized official
• Elmaz Dzhaparova, DMD

  • General Practice Dentistry
  • Levittown, PA
  • NPI 1073325718
  NPD
• Zhafar A Badalov, DMD

  • Dentist
  • Bensalem, PA
  • NPI 1952821415
  NPD (past)

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1851089841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7025 BRISTOL PIKE",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190574707",
            "telephone_number": "215-915-0505",
            "fax_number": "267-585-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 BRISTOL PIKE",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190574707",
            "telephone_number": "215-915-0505",
            "fax_number": "267-585-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "BADALOVA",
        "authorized_official_first_name": "KHAMIDA",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "215-313-1896"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bishnu Poudel
• Zachary Prall, PHARMD
• Alice R Premaza-Mueller, DO
• Premier Urgent Care Vermillion Square, LLC
• Premiere Care LLC
• Harry J Quinlan, DDS
• Natasha Lynn Rabinowitz
• Kara M Rado, PA-C
• Aynur Rahman, MD
• David J Ramella, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.