Main Line Dental Health Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS0229251 Issued in PA

Legal business name

MAIN LINE DENTAL HEALTH ASSOCIATES

Practice address

100 East Lancaster Avenue
664 Lankenau Medical Building East
Wynnewood, PA 19096-3450

Phone

(610) 642-6965

Fax

(610) 642-0286

NPI assigned

Sep 28, 2006

Last updated

Jun 26, 2008By 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. William Jeffery Snider, DMDNPI 1497917785

Title

President Owner

Phone

(610) 642-6965

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• William Jeffery Snider, D.M.D.

  • General Practice Dentistry
  • Wynnewood, PA
  • NPI 1497917785
  NPD (past) Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1952493009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EAST LANCASTER AVENUE",
            "address_2": "664 LANKENAU MEDICAL BUILDING EAST",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "610-642-6965",
            "fax_number": "610-642-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EAST LANCASTER AVENUE",
            "address_2": "664 LANKENAU MEDICAL BUILDING EAST",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "610-642-6965",
            "fax_number": "610-642-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE DENTAL HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "SNIDER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JEFFERY",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "610-642-6965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS0229251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "887426",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madlyn and Leonard Abramson Center for Jewish Life (Abramson Senior Care at Lankenau Medical Center)
• Diksha Mahendru, M.D.
• Elizabeth Mahoney, CRNA
• Heather Denean Mahoney, M.D.
• Main Line Clinical Laboratories
• Main Line Hand Surgery, PC
• Main Line Health Imaging LP
• Main Line Health Imaging LP
• Main Line Healthcare (Main Line Health Urgent Care and Extended Outpatient Care)
• Main Line Hospitals, Inc. (Lankenau Hospital)

• General Practice Dentistry in Wynnewood, PA
• Providers in Wynnewood, 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 Jun 26, 2008; 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.