Bala Dental Care, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS23650 Issued in PA

Legal business name

BALA DENTAL CARE, LLC

Practice address

2 Bala PLZ
Suite Il43
Bala Cynwyd, PA 19004-1501

Phone

(610) 664-6115

NPI assigned

Aug 7, 2007

Last updated

Aug 7, 2007By 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. Tod Drucker, DMDNPI 1295768729

Title

Owner

Phone

(610) 664-6115

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.

• Tod H Drucker, D.M.D.

  • General Practice Dentistry
  • Bala Cynwyd, PA
  • NPI 1295768729
  NPD (past) Authorized official

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1902097694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BALA PLZ",
            "address_2": "SUITE IL43",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BALA PLZ",
            "address_2": "SUITE IL43",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041501",
            "telephone_number": "610-664-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALA DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "DRUCKER",
        "authorized_official_first_name": "TOD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-664-6115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS23650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Baker
• Bala ASC
• Bala Better Health, LLC
• Bala Child and Family Association
• Bala Cynwyd Surgery Center
• Bala Institute of Oral Surgery
• Bala Kids Dentistry
• Bala Medical Associates P.C.
• Bala Medical, Inc (Bala Medical Associates)
• Bala Orthodontics, LLC

• General Practice Dentistry in Bala Cynwyd, PA
• Providers in Bala Cynwyd, 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 7, 2007; 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.