MDC Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MDC DENTAL, LLC

Practice address

135 E Market St Ste 116
Blairsville, PA 15717-1369

Phone

(724) 459-5310

Fax

(724) 459-5848

NPI assigned

Dec 20, 2018

Last updated

Dec 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David L Jordan, DMD

Title

Owner/Provider Dentist

Phone

(724) 459-5310

Specialties & licenses 1

Addresses

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.

• Thomas Vincent Reilly, D.D.S.

  • General Practice Dentistry
  • Blairsville, PA
  • NPI 1295775575
  NPD (past)

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1891267456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E MARKET ST STE 116",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157171369",
            "telephone_number": "724-459-5310",
            "fax_number": "724-459-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E MARKET ST STE 116",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157171369",
            "telephone_number": "724-459-5310",
            "fax_number": "724-459-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDC DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PROVIDER DENTIST",
        "authorized_official_telephone_number": "724-459-5310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony J Mancuso, OD
• Alexa Marconi, DO
• Taylor Marcus, BA
• Kayla McCleary, LPC
• Megan McCullough, LPN
• Medical Technical Rehabilitation LLC (MedTech Rehab Blairsville)
• Medmark Treatment Centers of Pennsylvania, Inc. (Medmark Treatment Centers Blairsville PA)
• Merit Dental Inc (Merit Dental)
• Edward John Mihelcic, PH.D., OTR/L
• Kayla Elizabeth Miller, LPC

• Dental Clinic/Center in Blairsville, PA
• Providers in Blairsville, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.