Agate Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

AGATE DENTAL PLLC

Practice address

1700 Bent Creek Blvd
Mechanicsburg, PA 17050-1870

Phone

(617) 963-4959

NPI assigned

May 26, 2023

Organization subpart

No

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

Authorized official

Name

Akpovona Efeturi, DDSNPI 1770935686

Title

Ceo

Phone

(973) 816-0968

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Akpovona Efeturi, DDS

  • Dentist
  • Harrisburg, PA
  • NPI 1770935686
  NPD Authorized official

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1982396917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 BENT CREEK BLVD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170501870",
            "telephone_number": "617-963-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BENT CREEK BLVD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170501870",
            "telephone_number": "617-963-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGATE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "EFETURI",
        "authorized_official_first_name": "AKPOVONA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-816-0968",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.