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JESO ADVANCED FAMILY DENTISTRY NPI 1952449555


NPI Information

NPI: 1952449555
Provider Name: JESO ADVANCED FAMILY DENTISTRY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
233 MCCLELLAN ST
SUITE A
PHILADELPHIA, PA
ZIP 19148
Phone: (215) 755-6626
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JESO ADVANCED FAMILY DENTISTRY 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. JESO ADVANCED FAMILY DENTISTRY NPI is 1952449555. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

233 MCCLELLAN ST
SUITE A
PHILADELPHIA, PA
ZIP 19148-918
Phone: (215) 755-6626
Fax: (215) 467-7151

The provider's authorized official is Esochi Joan Iheoma .
The authorized official title is Dentist and has the following contact phone number (215) 755-6626.

The enumeration date for this NPI number is 2/3/2007 and was last updated on 9/20/2010.


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 PracticeDS036147PENNSYLVANIAYes

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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