Organization Active NPI

Advanced Dentistry Implants Dentures Inc

  • Dental Clinic/Center
  • Selinsgrove, PA
National Provider Identifier
1922912013
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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)CodeLicenseStatePrimary
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

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.

Verify at the official NPI Registry.