ADVANCED DENTISTRY OF CITY LINE LLC NPI 1780928598

NPI Information

NPI: 1780928598
Provider Name: ADVANCED DENTISTRY OF CITY LINE LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
5058 CITY LINE AVE
PHILADELPHIA, PA
ZIP 19131
Phone: (215) 921-6510
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ADVANCED DENTISTRY OF CITY LINE LLC is a dental clinic center in Philadelphia, PA. ADVANCED DENTISTRY OF CITY LINE LLC NPI is 1780928598. The provider is registered as an organization entity type.

The provider's business location address is:

5058 CITY LINE AVE
PHILADELPHIA, PA
ZIP 19131-441
Phone: (215) 921-6510
Fax: (215) 921-6985

The provider's authorized official is Mehdi Nikparvar .
The authorized official title is Owner and has the following contact phone number (215) 921-6510.

The enumeration date for this NPI number is 11/16/2012 and was last updated on 11/16/2012.

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			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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