ELITE DENTAL LLC NPI 1033614136

NPI Information

  • NPI: 1033614136
  • Provider Name: ELITE DENTAL LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 5597 TULIP ST STE B4
    PHILADELPHIA, PA
    ZIP 19124
  • Phone: (215) 288-8008

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NPI Details

ELITE DENTAL LLC 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. ELITE DENTAL LLC NPI is 1033614136. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5597 TULIP ST STE B4
PHILADELPHIA, PA
ZIP 19124-562
Phone: (215) 288-8008

The provider's authorized official is Phil Kural .
The authorized official title is Director Doctor Credentialing and has the following contact phone number (312) 274-4526.

The enumeration date for this NPI number is 3/29/2018 and was last updated on 3/12/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 3/30/2025

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