Ardmore Pediatric Dental Associates PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS018777L Issued in PA

Legal business name

ARDMORE PEDIATRIC DENTAL ASSOCIATES PC

Practice address

233 E Lancaster Ave
Suite 201
Ardmore, PA 19003-2321

Phone

(610) 896-8300

NPI assigned

May 19, 2016

Last updated

May 19, 2016By 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

Jay Goldsleger, DMD

Title

President

Phone

(610) 896-8300

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1932556925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 LANCASTER AVE",
            "address_2": "SUITE 101",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551808",
            "telephone_number": "484-679-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E LANCASTER AVE",
            "address_2": "SUITE 201",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032321",
            "telephone_number": "610-896-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDMORE PEDIATRIC DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "GOLDSLEGER",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-896-8300",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS018777L",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS020687L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Althouse Chiropractic PC
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• Joseph N Annarelli, R.PH
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• Yasmin Areida, MD, MS, CNS
• Sonal Arjuna, M.D.
• Athens Nutrition, LLC
• Awakenly Therapy LLC
• Andrew Bacon

• Pediatric Dentistry in Ardmore, PA
• Providers in Ardmore, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.