SOUTH PHILADELPHIA DENTAL GROUP NPI 1255523650

NPI Information

NPI: 1255523650
Provider Name: SOUTH PHILADELPHIA DENTAL GROUP
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1815 S BROAD ST
PHILADELPHIA, PA
ZIP 19148
Phone: (215) 462-6229
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SOUTH PHILADELPHIA DENTAL GROUP is a dental clinic center in Philadelphia, PA. SOUTH PHILADELPHIA DENTAL GROUP NPI is 1255523650. The provider is registered as an organization entity type.

The provider's business location address is:

1815 S BROAD ST
PHILADELPHIA, PA
ZIP 19148-115
Phone: (215) 462-6229
Fax: (215) 467-9080

The provider's authorized official is Gregory Chess .
The authorized official title is Partner and has the following contact phone number (215) 462-6229.

The enumeration date for this NPI number is 8/10/2007 and was last updated on 8/10/2007.

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
1	261QD0000X	Clinic/Center	Dental	DS-030824-L	PENNSYLVANIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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