Pediatric Dental Assoc Ltd in Phila - Dentist
Pediatric Dental Assoc Ltd - NPI 1457416356
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 1457416356. The last update date is 2008-05-30.
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 2157433706. 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 | 2157433706 |
| 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 | 1457416356 |
|---|---|
| Provider Enumeration Date | 2006-12-22 |
| Last Updated Date | 2008-05-30 |
Provider Mailing Address Detail
| Address | 6404 Roosevelt Blvd |
|---|---|
| City | Phila |
| State | Pennsylvania (PA) |
| Post Code | 19149 |
| Phone Number | 2157433700 |
| Fax Number | 2157433706 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DS025205L |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5299280001 | PA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Pediatric Dental Assoc Ltd by the Centers for Medicare & Medicaid Services (CMS)?
The Pediatric Dental Assoc Ltd has been assigned the NPI (National Provider Identifier) 1457416356. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Pediatric Dental Assoc Ltd is geographically located?
The Pediatric Dental Assoc Ltd is physically situated at the following location: 6404 Roosevelt Blvd, Phila, PA, 19149.
What is Pediatric Dental Assoc Ltd's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Pediatric Dental Assoc Ltd is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1457416356 to Pediatric Dental Assoc Ltd?
The Centers for Medicare & Medicaid Services assigned the 1457416356 to Pediatric Dental Assoc Ltd on 2006-12-22.
When was the Pediatric Dental Assoc Ltd's information last updated?
The Pediatric Dental Assoc Ltd's information was last updated on 2008-05-30.
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