PENNSYLVANIA CENTER FOR DENTAL IMPLANTS AND PERIODONTICS LLC NPI 1356700835

NPI Information

PENNSYLVANIA CENTER FOR DENTAL IMPLANTS AND PERIODONTICS, LLC is a periodontics dentist in Philadelphia, PA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. PENNSYLVANIA CENTER FOR DENTAL IMPLANTS AND PERIODONTICS, LLC NPI is 1356700835. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9880 BUSTLETON AVE
SUITE 211-212
PHILADELPHIA, PA
ZIP 19115-185
Phone: (215) 677-8686
Fax: (215) 677-7212

The provider's authorized official is Tami Vishio .
The authorized official title is Office Manager and has the following contact phone number (215) 677-8686.

The enumeration date for this NPI number is 2/12/2016 and was last updated on 2/12/2016.

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:

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