PATELKA DENTAL ON WHEELS NPI 1386992873

NPI Information

NPI: 1386992873
Provider Name: PATELKA DENTAL ON WHEELS
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
8332 BUSTLETON AVE
UNIT B
PHILADELPHIA, PA
ZIP 19152
Phone: (215) 342-5090
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PATELKA DENTAL ON WHEELS is a dental clinic center in Philadelphia, PA. PATELKA DENTAL ON WHEELS NPI is 1386992873. The provider is registered as an organization entity type.

The provider's business location address is:

8332 BUSTLETON AVE
UNIT B
PHILADELPHIA, PA
ZIP 19152-909
Phone: (215) 342-5090

The provider's authorized official is Svetlana Kutovoy .
The authorized official title is Owner and has the following contact phone number (215) 342-5090.

The enumeration date for this NPI number is 8/15/2012 and was last updated on 8/15/2012.

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	DS020408L	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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