G. Peter Moylan, DMD PC

Primary specialty

DentistTaxonomy code 122300000X

License

DS024915L Issued in PA

Legal business name

G. PETER MOYLAN, DMD PC

Practice address

35 W Main St
North East, PA 16428-1135

Phone

(814) 725-1223

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. G. Peter Moylan III, DMD

Title

President

Phone

(814) 725-1223

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881604064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 W MAIN ST",
            "city": "NORTH EAST",
            "state": "PA",
            "postal_code": "164281135",
            "telephone_number": "814-725-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 W MAIN ST",
            "city": "NORTH EAST",
            "state": "PA",
            "postal_code": "164281135",
            "telephone_number": "814-725-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. PETER MOYLAN, DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOYLAN",
        "authorized_official_first_name": "G. PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-725-1223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS024915L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.