Pennsylvania Center For Dental Implants And Periodontics in Philadelphia - Periodontics
Pennsylvania Center For Dental Implants And Periodontics - NPI 1417031923
Pennsylvania Center For Dental Implants And Periodontics is a Periodontics in Philadelphia, Pennsylvania. Pennsylvania Center For Dental Implants And Periodontics practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Pennsylvania Center For Dental Implants And Periodontics is 1417031923. The last update date is 2020-08-22.
Pennsylvania Center For Dental Implants And Periodontics's current location address is 9880 Bustleton Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2156778686 and fax number 2156777212. The mailing address for Pennsylvania Center For Dental Implants And Periodontics is 9880 Bustleton Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pennsylvania Center For Dental Implants And Periodontics |
|---|---|
| Address | 9880 Bustleton Ave, Philadelphia, Pennsylvania |
| Phone Number | 2156778686 |
| Fax Number | 2156777212 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Levine A Robert |
| Credentials | DDS,PC |
| Telephone Number | 2156778686 |
NPI Number Detail
| NPI Number | 1417031923 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 9880 Bustleton Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191152185 |
| Phone Number | 2156778686 |
| Fax Number | 2156777212 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DS022257L |
|
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 Pennsylvania Center For Dental Implants And Periodontics by the Centers for Medicare & Medicaid Services (CMS)?
The Pennsylvania Center For Dental Implants And Periodontics has been assigned the NPI (National Provider Identifier) 1417031923. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Pennsylvania Center For Dental Implants And Periodontics's facilities are situated?
The facilities of Pennsylvania Center For Dental Implants And Periodontics are physically located at the following address: 9880 Bustleton Ave, Philadelphia, PA, 191152185.
What is the area of specialization for Pennsylvania Center For Dental Implants And Periodontics, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pennsylvania Center For Dental Implants And Periodontics is Periodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0300X.
On what date did Pennsylvania Center For Dental Implants And Periodontics receive its 1417031923 assignment from the Centers for Medicare & Medicaid Services?
The Pennsylvania Center For Dental Implants And Periodontics was assigned its 1417031923 on 2006-10-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Pennsylvania Center For Dental Implants And Periodontics most recently updated or revised?
The details related to Pennsylvania Center For Dental Implants And Periodontics, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.