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EVEREST DENTAL LLC NPI 1336376185


NPI Information

NPI: 1336376185
Provider Name: EVEREST DENTAL LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
9892 BUSTLETON AVE
SUITE 302
PHILADELPHIA, PA
ZIP 19115
Phone: (215) 671-0188
Get Directions

EVEREST 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. EVEREST DENTAL LLC NPI is 1336376185. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9892 BUSTLETON AVE
SUITE 302
PHILADELPHIA, PA
ZIP 19115-184
Phone: (215) 671-0188
Fax: (215) 671-0277

The provider's authorized official is Wolodymyr Zin .
The authorized official title is Owner and has the following contact phone number (215) 671-0188.

The enumeration date for this NPI number is 6/19/2009 and was last updated on 6/19/2009.


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 PracticeDS037258PENNSYLVANIAYes

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

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