Brookville Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS024744L Issued in PA

Legal business name

BROOKVILLE DENTAL PC

Practice address

123 Main St
Brookville, PA 15825-1212

Phone

(814) 849-2652

NPI assigned

Jul 27, 2006

Last updated

Aug 22, 2020By 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

William J Weaver, D.M.D.NPI 1649232364

Title

President

Phone

(814) 849-2652

Specialties & licenses 1

Addresses

Locations

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.

• William J Weaver, DMD

  • General Practice Dentistry
  • Brookville, PA
  • NPI 1649232364
  NPD (past) Authorized official

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891719480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MAIN ST",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158251212",
            "telephone_number": "814-849-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MAIN ST",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158251212",
            "telephone_number": "814-849-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKVILLE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-849-2652",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS024744L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Dwain Leo Bowser
• Patricia Lou Brennan
• Brookville Anesthesia Services, PC
• Brookville Area School District
• Brookville Chiropractic & Rehabilitation Center, LLC (Snyder Chiropractic Life Center)
• Brookville Emergency Group PC
• Brookville Hospital (Emergency Room)
• Brookville Hospital (Allegheny Health Center)
• Brookville Hospital
• Brookville Hospital (Penn Highlands Brookville)

• General Practice Dentistry in Brookville, PA
• Providers in Brookville, PA by specialty
• General Practice Dentistry in Pennsylvania

• 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.