Active NPI
Advanced Dentistry Implants Dentures Inc
- Dental Clinic/Center
- Selinsgrove, PA
National Provider Identifier
1922912013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- ADVANCED DENTISTRY IMPLANTS DENTURES INC
- Practice address
- 1499 N Susquehanna TRL Ste 2
Selinsgrove, PA 17870-7783 - Phone
- (570) 884-4000
- Fax
- (570) 844-8770
- NPI assigned
- Sep 28, 2026
- Last updated
- Sep 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carolyn Bates
- Title
- Director of Finance
- Phone
- (716) 622-1592
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | ||
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
1499 N Susquehanna TRL Ste 2
Selinsgrove, PA 17870-7783
Mailing address
1499 N Susquehanna TRL Ste 2
Selinsgrove, PA 17870-7783
Phone (570) 884-4000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790553600000",
"number": "1922912013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1499 N SUSQUEHANNA TRL STE 2",
"city": "SELINSGROVE",
"state": "PA",
"postal_code": "178707783",
"telephone_number": "570-884-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1499 N SUSQUEHANNA TRL STE 2",
"city": "SELINSGROVE",
"state": "PA",
"postal_code": "178707783",
"telephone_number": "570-884-4000",
"fax_number": "570-844-8770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED DENTISTRY IMPLANTS DENTURES INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-28",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A",
"authorized_official_last_name": "BATES",
"authorized_official_first_name": "CAROLYN",
"authorized_official_title_or_position": "DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "716-622-1592"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Selinsgrove, PA
- 42 North Dental Care LLC (Dental Carre Associates, Selinsgrove)
- 51 Route 204 Opco LLC (The Manor at Penn Village)
- Cierra Renee Adams
- Robin L. Adams, CRNP
- Affordable Dentures & Implants of Pennsylvania, PLLC
- Joseph Francis Agoglia, DDS
- Dominick Agosti, LCSW
- Robert Aikman, PHARMD
- Sondra Alexander, COTA/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.