Active NPI
Cottmon Dental Group
- Dentist
- Phila, PA
National Provider Identifier
1992030001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Phila, PA
- NPI 1780715433
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.