Jennersville Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS035385 Issued in PA

Legal business name

JENNERSVILLE FAMILY DENTISTRY

Practice address

900 W. Baltimore Pike
Suite 100
West Grove, PA 19390-9178

Phone

(610) 345-0700

Fax

(610) 345-0660

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Matthew F Milano, DMD

Title

Corporate Officer

Phone

(610) 345-0700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Meghan Marie Martin, DMD

  • General Practice Dentistry
  • Drexel Hill, PA
  • NPI 1346914462
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851424972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W. BALTIMORE PIKE",
            "address_2": "SUITE 100",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909178",
            "telephone_number": "610-345-0700",
            "fax_number": "610-345-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W. BALTIMORE PIKE",
            "address_2": "SUITE 100",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909178",
            "telephone_number": "610-345-0700",
            "fax_number": "610-345-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNERSVILLE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILANO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "610-345-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Foot and Ankle Specialists of PA LLC
• Internal Medicine Associates, P C
• Lorrana Lin Jacobetz, RBT
• Sharon Jarrett, C.R.F.N.P.
• Jenner'S Pond Inc.
• Jennersville Family Medicine LLC
• Jennersville Hospital, LLC
• Jennersville Hospital, LLC
• Jennersville Hospital, LLC
• Jennersville Medical Associates, PC

• General Practice Dentistry in West Grove, PA
• Providers in West Grove, 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.