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ISMILE DENTAL GROUP PC NPI 1346624038


NPI Information

NPI: 1346624038
Provider Name: ISMILE DENTAL GROUP, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6573 ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19149
Phone: (267) 668-8001
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ISMILE DENTAL GROUP, PC 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. ISMILE DENTAL GROUP, PC NPI is 1346624038. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6573 ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19149
Phone: (267) 668-8001
Fax: (267) 668-8002

The provider's authorized official is Grace Harriman .
The authorized official title is Director Of Business Operations and has the following contact phone number (267) 668-8001.

The enumeration date for this NPI number is 7/13/2015 and was last updated on 3/13/2017.


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
1122300000XDentistPENNSYLVANIANo
21223G0001XDentistGeneral PracticePENNSYLVANIAYes

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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