Picasso Dental Arts, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DS036347 Issued in PA

Legal business name

PICASSO DENTAL ARTS, LLC

Practice address

1550 Old York Rd Ste 4
Abington, PA 19001-1742

Phone

(215) 657-4440

Fax

(215) 657-2412

NPI assigned

May 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Yoon Lyou, DMDNPI 1174697197

Title

Sole Member

Phone

(215) 657-4440

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.

• Yoon Lyou, DMD

  • General Practice Dentistry
  • Abington, PA
  • NPI 1174697197
  NPD (past) Authorized official

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1982922209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 OLD YORK RD STE 4",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190011742",
            "telephone_number": "215-657-4440",
            "fax_number": "215-657-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 OLD YORK RD STE 4",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190011742",
            "telephone_number": "215-657-4440",
            "fax_number": "215-657-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICASSO DENTAL ARTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "LYOU",
        "authorized_official_first_name": "YOON",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "215-657-4440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS036347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danae Hernandez Petzold, CRNP
• Ellen Pham, MD
• Gregory Philip, PA-C
• Tom Philip
• Kathryn B. Phillips, PA-C
• Samuel Pierce
• Martin O Pieretti, D.O., MPH
• W Ronald Pinkos
• Wayne Howard Pinover, D.O.
• Donna Piotrowicz, AGACNP-BC

• Dental Clinic/Center in Abington, PA
• Providers in Abington, 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 May 11, 2010; 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.