Locust Street Periodontics Implant Dentistry L.L.C. in Philadelphia - Periodontics
Locust Street Periodontics Implant Dentistry L.L.C. - NPI 1063536290
Locust Street Periodontics Implant Dentistry L.L.C. is a Periodontics in Philadelphia, Pennsylvania. Locust Street Periodontics Implant Dentistry L.L.C. practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Locust Street Periodontics Implant Dentistry L.L.C. is 1063536290. The last update date is 2020-08-22.
Locust Street Periodontics Implant Dentistry L.L.C.'s current location address is 1500 Locust St., Philadelphia, Pennsylvania. You can contact this provider via phone number 2157324450 and fax number 2157359886. The mailing address for Locust Street Periodontics Implant Dentistry L.L.C. is 1500 Locust St., Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Locust Street Periodontics Implant Dentistry L.L.C. |
|---|---|
| Address | 1500 Locust St., Philadelphia, Pennsylvania |
| Phone Number | 2157324450 |
| Fax Number | 2157359886 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Gian-Grasso Joseph |
| Credentials | D.M.D. |
| Telephone Number | 2157324450 |
NPI Number Detail
| NPI Number | 1063536290 |
|---|---|
| Provider Enumeration Date | 2007-03-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1500 Locust St. |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191024314 |
| Phone Number | 2157324450 |
| Fax Number | 2157359886 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DS018466L |
|
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique identifier code issued to Locust Street Periodontics Implant Dentistry L.L.C. by the Centers for Medicare & Medicaid Services (CMS)?
The Locust Street Periodontics Implant Dentistry L.L.C. has been assigned the NPI (National Provider Identifier) 1063536290. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Locust Street Periodontics Implant Dentistry L.L.C.?
The Locust Street Periodontics Implant Dentistry L.L.C. is situated at 1500 Locust St., in the city of Philadelphia, state of PA, with the zip code 191024314.
What is the Locust Street Periodontics Implant Dentistry L.L.C.'s area of specialization and corresponding taxonomy classification?
The Locust Street Periodontics Implant Dentistry L.L.C.'s specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1063536290 to Locust Street Periodontics Implant Dentistry L.L.C.?
The Locust Street Periodontics Implant Dentistry L.L.C. received its 1063536290 assignment from the Centers for Medicare & Medicaid Services on 2007-03-16.
When was the information regarding Locust Street Periodontics Implant Dentistry L.L.C. most recently updated?
The details pertaining to the Locust Street Periodontics Implant Dentistry L.L.C., including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.