Prime Dental Associates, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PRIME DENTAL ASSOCIATES, LLC

Practice address

101 Old York Rd Ste 401
Jenkintown, PA 19046-3912

Phone

(215) 884-2707

Fax

(215) 884-2709

NPI assigned

Oct 30, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Shaochen Liu, DMDNPI 1659384840

Title

Dentist

Phone

(215) 884-2707

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.

• Shaochen Liu, DMD

  • Dentist
  • Jenkintown, PA
  • NPI 1659384840
  NPD Authorized official

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1952901704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OLD YORK RD STE 401",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463912",
            "telephone_number": "215-884-2707",
            "fax_number": "215-884-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLD YORK RD STE 401",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463912",
            "telephone_number": "215-884-2707",
            "fax_number": "215-884-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "SHAOCHEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "215-884-2707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018826210002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edie Goldbacher Poirot, PHD
• Cynthia Perry Possanza, CRNP
• Gail Post, PH.D.
• Kristen Prentiss, ED.S, NCSP
• Tamako Presley
• Prime Health 1 Supplies LLC
• Prime Health Home Care
• Priority Home Care LLC
• Prism Therapy Center LLC
• Aldo Profka, DMD

• Dental Clinic/Center in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.