Dentistry for Children and Teens Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DENTISTRY FOR CHILDREN AND TEENS INC.

Practice address

265 3Rd St
Beaver, PA 15009-2350

Phone

(724) 774-1920

Fax

(724) 774-3332

NPI assigned

Jun 17, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Robert Alan Davis, D.M.D.

Title

Dentist

Phone

(724) 774-1920

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992700744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 537",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150090537",
            "telephone_number": "724-774-1920",
            "fax_number": "724-774-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 3RD ST",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092350",
            "telephone_number": "724-774-1920",
            "fax_number": "724-774-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY FOR CHILDREN AND TEENS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "724-774-1920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011869630001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda Deakin, RN
• Albert A Dedominicis III, MS,LBS
• Roman Y Dejesus, M.D.
• Dominic Joseph Deluigi, PH.D.
• Dennis P Clayton DMD
• Dentistry for Kids
• Leonard A Deriggi, MD
• Christine L Desanzo, CRNA
• Christopher Paul Desanzo, D.C.
• Geraldine Louise Desena, LPC, CAC

• Pediatric Dentistry in Beaver, PA
• Providers in Beaver, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.