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ELEGANCE IN DENTISTRY NPI 1679094148


NPI Information

NPI: 1679094148
Provider Name: ELEGANCE IN DENTISTRY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1 WINDING DR
PHILADELPHIA, PA
ZIP 19131
Phone: (215) 883-0611
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ELEGANCE IN DENTISTRY is a general practice dentist in Philadelphia, PA. The provider is 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. ELEGANCE IN DENTISTRY NPI is 1679094148. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 WINDING DR
PHILADELPHIA, PA
ZIP 19131-907
Phone: (215) 883-0611
Fax: (267) 713-7371

The provider's authorized official is Kellyn Hodges .
The authorized official title is Doctor and has the following contact phone number (610) 617-0700.

The enumeration date for this NPI number is 7/5/2017 and was last updated on 7/5/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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