USA Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS038123 Issued in PA

Legal business name

USA DENTAL CARE

Practice address

320 N Oxford Valley Rd
Fairless Hills, PA 19030-2610

Phone

(215) 946-9400

Fax

(215) 946-9409

NPI assigned

Mar 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Archana Tadisena, DMD

Title

Owner

Phone

(513) 377-0787

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1972965879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N OXFORD VALLEY RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302610",
            "telephone_number": "215-946-9400",
            "fax_number": "215-946-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N OXFORD VALLEY RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302610",
            "telephone_number": "215-946-9400",
            "fax_number": "215-946-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "TADISENA",
        "authorized_official_first_name": "ARCHANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-377-0787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Fairless Hills, PA
• Providers in Fairless Hills, 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 Mar 22, 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.