NPIMap

Organization Active NPI

Dilip N Dudhat, DMD,PC

Doing business as Advanced Dental Esthetics

  • General Practice Dentistry
  • Colmar, PA
National Provider Identifier
1881808665
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS029728L Issued in PA
Legal business name
DILIP N DUDHAT, DMD,PC
Doing business as
Advanced Dental Esthetics
Practice address
2406 N Broad St
Colmar, PA 18915-9701
Phone
(215) 997-2300
Fax
(215) 997-0227
NPI assigned
May 10, 2007
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Dr. Dilip Dudhat, D.M.D.NPI 1124033774
Title
Owner
Phone
(215) 997-2300

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 DS029728L PA Primary

Addresses

Primary practice location

2406 N Broad St
Colmar, PA 18915-9701

Mailing address

2406 N Broad St
Colmar, PA 18915-9701
Phone (215) 997-2300

Other identifiers 2

IdentifierTypeStateIssuer
136588OtherPAUNITED CONCORDIA ID
28956OtherPAAETNA ID

Other names 1

  • Advanced Dental Esthetics Doing business as

National Provider Directory

National Provider Directory

Locations

2406 N Broad St
Colmar, PA 18915
Phone (215) 390-3956

Practitioners & affiliated clinicians

Practitioners 7

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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1881808665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 N BROAD ST",
            "city": "COLMAR",
            "state": "PA",
            "postal_code": "189159701",
            "telephone_number": "215-997-2300",
            "fax_number": "215-997-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 N BROAD ST",
            "city": "COLMAR",
            "state": "PA",
            "postal_code": "189159701",
            "telephone_number": "215-997-2300",
            "fax_number": "215-997-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILIP N DUDHAT, DMD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "DUDHAT",
        "authorized_official_first_name": "DILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-997-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS029728L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA ID",
            "identifier": "136588",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "28956",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dental Esthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colmar, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.