Organization Active NPI

Pulaski Family and Cosmetic Dentistry, LLC

Doing business as Pulaski Dental

  • Dentist
  • Blue Bell, PA
National Provider Identifier
1881149235
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS039188 Issued in PA
Legal business name
PULASKI FAMILY AND COSMETIC DENTISTRY, LLC
Doing business as
Pulaski Dental
Practice address
1710 Dekalb Pike
Blue Bell, PA 19422-3352
Phone
(610) 277-8100
NPI assigned
Aug 15, 2016
Last updated
Aug 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Authorized official

Name
Dr. Lisbeth M Pulaski, DMD
Title
Owner
Phone
(610) 277-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS039188 PA Primary

Addresses

Primary practice location

1710 Dekalb Pike
Blue Bell, PA 19422-3352

Mailing address

1710 Dekalb Pike
Blue Bell, PA 19422-3352
Phone (610) 277-8100

Other names 1

  • Pulaski Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1710 DeKalb Pike
Blue Bell, PA 19422
Phone (610) 277-8100

Practitioners & affiliated clinicians

Practitioners 2

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": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1881149235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 DEKALB PIKE",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194223352",
            "telephone_number": "610-277-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 DEKALB PIKE",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194223352",
            "telephone_number": "610-277-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULASKI FAMILY AND COSMETIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "PULASKI",
        "authorized_official_first_name": "LISBETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-277-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pulaski Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blue Bell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.