Organization Active NPI

Blue Bell Endodontics & Dental Implants, LLC

  • Dental Clinic/Center
  • Blue Bell, PA
National Provider Identifier
1982941746
Registry record updated Jan 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BLUE BELL ENDODONTICS & DENTAL IMPLANTS, LLC
Practice address
921 Penllyn Blue Bell Pike
Blue Bell, PA 19422-2163
Phone
(215) 628-0610
NPI assigned
Jan 13, 2013
Last updated
Jan 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2013

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

Authorized official

Name
Dr. David Dutkowski, DMD
Title
Ceo
Phone
(215) 628-0610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

921 Penllyn Blue Bell Pike
Blue Bell, PA 19422-2163

Mailing address

983 E Lancaster Ave
Bryn Mawr, PA 19010-1030

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1358035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358035200000",
    "number": "1982941746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "983 E LANCASTER AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 PENLLYN BLUE BELL PIKE",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222163",
            "telephone_number": "215-628-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE BELL ENDODONTICS & DENTAL IMPLANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-13",
        "last_updated": "2013-01-13",
        "status": "A",
        "authorized_official_last_name": "DUTKOWSKI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-628-0610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2013; 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.