PENNSYLVANIA CENTER FOR DENTAL IMPLANTS AND PERIODONTICS NPI 1417031923

NPI Information

PENNSYLVANIA CENTER FOR DENTAL IMPLANTS AND PERIODONTICS 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 NPI is 1417031923. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

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

The provider's authorized official is Robert A Levine .
The authorized official title is Owner and has the following contact phone number (215) 677-8686.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 8/22/2020.

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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