Organization Active NPI

Cottmon Dental Group

  • Dentist
  • Phila, PA
National Provider Identifier
1992030001
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
COTTMON DENTAL GROUP
Practice address
2901 Secane Dr
Phila, PA 19154-1329
Phone
(215) 632-1245
Fax
(215) 632-8456
NPI assigned
Oct 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Authorized official

Name
Robert Dubin, NA
Title
Pres
Phone
(610) 639-3060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2901 Secane Dr
Phila, PA 19154-1329

Mailing address

2901 Secane Dr
Phila, PA 19154-1329
Phone (215) 632-1245

National Provider Directory

National Provider Directory

Locations

2901 Secane Dr
Philadelphia, PA 19154
Phone (215) 632-1244

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1992030001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 SECANE DR",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191541329",
            "telephone_number": "215-632-1245",
            "fax_number": "215-632-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 SECANE DR",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191541329",
            "telephone_number": "215-632-1245",
            "fax_number": "215-632-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTMON DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "DUBIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "610-639-3060",
        "authorized_official_credential": "NA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.