Individual provider Active NPI

James Spencer Slattery Jr., DMD

  • General Practice Dentistry
  • Glen Mills, PA
National Provider Identifier
1962059899
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS042287 Issued in PA
Practice address
23 Regency PLZ
Glen Mills, PA 19342-1001
Phone
(610) 358-5690
NPI assigned
Aug 26, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS042287 PA Primary

Addresses

Primary practice location

23 Regency PLZ
Glen Mills, PA 19342-1001

Mailing address

23 Regency PLZ
Glen Mills, PA 19342-1001
Phone (610) 358-5690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS042287PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Slattery Dental PLLC General Practice CurrentSince Feb 9, 2025 Accepting new patients
Glen Mills Dental PLLC General Practice CurrentSince Jun 29, 2025 Accepting new patients

Locations

23 Regency Plz
Glen Mills, PA 19342
Phone (302) 222-2367

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1962059899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 REGENCY PLZ",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421001",
            "telephone_number": "610-358-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 REGENCY PLZ",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421001",
            "telephone_number": "610-358-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATTERY",
        "first_name": "JAMES",
        "middle_name": "SPENCER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-26",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Mills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.