Integrated Dental Care, LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DS029571L Issued in PA

Legal business name

INTEGRATED DENTAL CARE, LLC

Practice address

80 W Welsh Pool Rd
Exton, PA 19341-1233

Phone

(610) 363-5997

NPI assigned

Oct 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Scott Nakamura, DMD

Title

Managing Member

Phone

(610) 363-5887

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1475884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475884800000",
    "number": "1992255442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 W WELSH POOL RD",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 W WELSH POOL RD",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411233",
            "telephone_number": "610-363-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-08",
        "last_updated": "2016-10-08",
        "status": "A",
        "authorized_official_last_name": "NAKAMURA",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "610-363-5887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS029571L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in Exton, PA
• Providers in Exton, PA by specialty
• Periodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2016; 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.