Pediatric Dental Assoc Ltd in Phila - Dentist
Pediatric Dental Assoc Ltd - NPI 1366507253
Pediatric Dental Assoc Ltd is a Dentist in Phila, Pennsylvania. Pediatric Dental Assoc Ltd practices all healthcare services and medical treatments related to Dentist. The NPI Number for Pediatric Dental Assoc Ltd is 1366507253. The last update date is 2011-08-17.
Pediatric Dental Assoc Ltd's current location address is 6404 Roosevelt Blvd, Phila, Pennsylvania. You can contact this provider via phone number 2157433700 and fax number 2157433715. The mailing address for Pediatric Dental Assoc Ltd is 6404 Roosevelt Blvd, Phila, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Dental Assoc Ltd |
|---|---|
| Address | 6404 Roosevelt Blvd, Phila, Pennsylvania |
| Phone Number | 2157433700 |
| Fax Number | 2157433715 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Rosenbaum S Michael |
| Credentials | DMD |
| Telephone Number | 2157433700 |
NPI Number Detail
| NPI Number | 1366507253 |
|---|---|
| Provider Enumeration Date | 2006-12-22 |
| Last Updated Date | 2011-08-17 |
Provider Mailing Address Detail
| Address | 6404 Roosevelt Blvd |
|---|---|
| City | Phila |
| State | Pennsylvania (PA) |
| Post Code | 19149 |
| Phone Number | 2157433700 |
| Fax Number | 2157433715 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DS025205L |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Pediatric Dental Assoc Ltd by the Centers for Medicare & Medicaid Services?
The Pediatric Dental Assoc Ltd has been assigned the NPI (National Provider Identifier) 1366507253 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Pediatric Dental Assoc Ltd?
The Pediatric Dental Assoc Ltd is situated at 6404 Roosevelt Blvd, in the city of Phila, state of PA, with the zip code 19149.
What is Pediatric Dental Assoc Ltd's area of expertise and its corresponding taxonomy classification?
The Pediatric Dental Assoc Ltd's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Pediatric Dental Assoc Ltd receive the assignment of its 1366507253 from the Centers for Medicare & Medicaid Services?
The Pediatric Dental Assoc Ltd was issued its 1366507253 by the Centers for Medicare & Medicaid Services on 2006-12-22.
As of what date were the details pertaining to Pediatric Dental Assoc Ltd last refreshed?
The information related to the Pediatric Dental Assoc Ltd, including its address, specialty, and other relevant details, was last updated on 2011-08-17.