SOCIETY HILL DENTAL ASSOCIATES NPI 1629166020

NPI Information

SOCIETY HILL DENTAL ASSOCIATES 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. SOCIETY HILL DENTAL ASSOCIATES NPI is 1629166020. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21 S 5TH ST
SUITE 610
PHILADELPHIA, PA
ZIP 19106-515
Phone: (215) 238-0800

The provider's authorized official is Scott J Bonomo .
The authorized official title is Owner/vice President and has the following contact phone number (215) 238-0800.

The CLIA number assigned to this NPI record is 39D2055587 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2006 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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.