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SPECIAL OUTREACH SERVICES PC NPI 1801436506


NPI Information

NPI: 1801436506
Provider Name: SPECIAL OUTREACH SERVICES, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2301 E ALLEGHENY AVE STE 202
PHILADELPHIA, PA
ZIP 19134
Phone: (267) 639-6270
Get Directions

SPECIAL OUTREACH SERVICES, PC 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. SPECIAL OUTREACH SERVICES, PC NPI is 1801436506. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2301 E ALLEGHENY AVE STE 202
PHILADELPHIA, PA
ZIP 19134-427
Phone: (267) 639-6270
Fax: (267) 639-6270

The provider's authorized official is Mark Goldstein .
The authorized official title is President and has the following contact phone number (267) 639-6250.

The enumeration date for this NPI number is 1/10/2020 and was last updated on 1/10/2020.


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 PracticeYes

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: 4/28/2024

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