Main Street Dental Center City Pc in Philadelphia - General Practice
Main Street Dental Center City Pc - NPI 1639370661
Main Street Dental Center City Pc is a General Practice in Philadelphia, Pennsylvania. Main Street Dental Center City Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Main Street Dental Center City Pc is 1639370661. The last update date is 2011-04-22.
Main Street Dental Center City Pc's current location address is 1048 South St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2156271995 and fax number 2156271999. The mailing address for Main Street Dental Center City Pc is 1048 South St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Main Street Dental Center City Pc |
|---|---|
| Address | 1048 South St, Philadelphia, Pennsylvania |
| Phone Number | 2156271995 |
| Fax Number | 2156271999 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Eidelson Victor Richard |
| Credentials | DDS, FAGD |
| Telephone Number | 2156271995 |
NPI Number Detail
| NPI Number | 1639370661 |
|---|---|
| Provider Enumeration Date | 2007-05-29 |
| Last Updated Date | 2011-04-22 |
Provider Mailing Address Detail
| Address | 1048 South St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191471935 |
| Phone Number | 2156271995 |
| Fax Number | 2156271999 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DS019673L |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code issued to Main Street Dental Center City Pc by the Centers for Medicare & Medicaid Services?
The Main Street Dental Center City Pc has been assigned the NPI (National Provider Identifier) 1639370661 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Main Street Dental Center City Pc located?
The Main Street Dental Center City Pc is located at 1048 South St, Philadelphia, PA 191471935.
What is the area of specialization for Main Street Dental Center City Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Main Street Dental Center City Pc is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
When did Main Street Dental Center City Pc receive its 1639370661 assignment?
The Main Street Dental Center City Pc was assigned its 1639370661 on 2007-05-29, which is the date when this unique identifier was issued to the organization.
As of what date were the Main Street Dental Center City Pc's details last updated?
The information pertaining to the Main Street Dental Center City Pc, including its address, specialty, and other details, was most recently updated on 2011-04-22.
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