Organization Active NPI

Floss & Gloss Dental Group LLC

Doing business as None

  • Dentist
  • Philadelphia, PA
National Provider Identifier
1952771040
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
FLOSS & GLOSS DENTAL GROUP LLC
Doing business as
None
Practice address
8462 Jackson St FL 2
Philadelphia, PA 19136-2428
Phone
(267) 394-1416
NPI assigned
Oct 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Samantha J Donmez
Title
Owner
Phone
(267) 394-1416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X PA Primary

Addresses

Primary practice location

8462 Jackson St FL 2
Philadelphia, PA 19136-2428

Mailing address

3200 Frankford Ave # 2
Philadelphia, PA 19134-3217
Phone (215) 739-5600

Other names 1

  • None Doing business as

National Provider Directory

National Provider Directory

Locations

3200 Frankford Ave
#2
Philadelphia, PA 19134

NPI Registry JSON

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1952771040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 FRANKFORD AVE # 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191343217",
            "telephone_number": "215-739-5600",
            "fax_number": "215-291-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8462 JACKSON ST FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191362428",
            "telephone_number": "267-394-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOSS & GLOSS DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "DONMEZ",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-394-1416"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.