Butler Pike Periodontal Associates, LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

BUTLER PIKE PERIODONTAL ASSOCIATES, LLC

Practice address

140 E Butler Ave
Ambler, PA 19002-4427

Phone

(267) 643-4393

NPI assigned

Dec 11, 2018

Last updated

Dec 21, 2019By 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

Philip L Fava II, DMD

Title

Owner

Phone

(267) 643-4393

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576886400000",
    "number": "1902377344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E BUTLER AVE",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190024427",
            "telephone_number": "267-643-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E BUTLER AVE",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190024427",
            "telephone_number": "267-643-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTLER PIKE PERIODONTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2019-12-21",
        "certification_date": "2019-12-21",
        "status": "A",
        "authorized_official_last_name": "FAVA",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-643-4393",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khara Browne
• Erica B Bucci, ATR-BC, LPC
• Sonya Kathleen Budnovitch, MA, BC-DMT, NCC, LPC
• Carrie Lynn Burden, MS, CNS, LDN
• Virginia Lynn Burmeister, MPT
• Elizabeth Campbell, M.S., L.P.C.
• Nancy Josephine Cantwell, PTA
• Colleen Doody Carey, PT
• Casa de Sante Inc
• Casimir Dental Care

• Periodontics in Ambler, PA
• Providers in Ambler, PA by specialty
• Periodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2019; 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.