Organization Active NPI

Plymouth Meeting Dental Associates

  • General Practice Dentistry
  • Plymouth Meeting, PA
National Provider Identifier
1861527756
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS026075L Issued in PA
Legal business name
PLYMOUTH MEETING DENTAL ASSOCIATES
Practice address
1 E Church Rd
Plymouth Meeting, PA 19462-7137
Phone
(610) 272-1796
Fax
(610) 272-3174
NPI assigned
Feb 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Aleksandar Damevski, D.M.D.NPI 1821330010
Title
Owner
Phone
(610) 272-1796

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS026075L PA Primary

Addresses

Primary practice location

1 E Church Rd
Plymouth Meeting, PA 19462-7137

Mailing address

1 E Church Rd
Plymouth Meeting, PA 19462-7137
Phone (610) 272-1796

National Provider Directory

National Provider Directory

Locations

1 E Church Rd
Plymouth Meeting, PA 19462
Phone (610) 272-1796

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861527756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E CHURCH RD",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194627137",
            "telephone_number": "610-272-1796",
            "fax_number": "610-272-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E CHURCH RD",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194627137",
            "telephone_number": "610-272-1796",
            "fax_number": "610-272-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH MEETING DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAMEVSKI",
        "authorized_official_first_name": "ALEKSANDAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-272-1796",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS026075L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

  • 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.