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PREMIER FAMILY DENTAL LLC NPI 1427068717


NPI Information

NPI: 1427068717
Provider Name: PREMIER FAMILY DENTAL, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4101 TYSON AVE
PHILADELPHIA, PA
ZIP 19135
Phone: (215) 338-9000
Get Directions

PREMIER FAMILY 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. PREMIER FAMILY DENTAL, LLC NPI is 1427068717. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4101 TYSON AVE
PHILADELPHIA, PA
ZIP 19135-615
Phone: (215) 338-9000
Fax: (215) 338-9076

The provider's authorized official is Joan Espinosa .
The authorized official title is Office Manager and has the following contact phone number (215) 338-9000.

The enumeration date for this NPI number is 8/9/2006 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeDS036370PENNSYLVANIAYes

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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