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CENTER ONE DENTAL ASSOCIATES PC NPI 1972074250


NPI Information

NPI: 1972074250
Provider Name: CENTER ONE DENTAL ASSOCIATES PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 39D0199149

Address:
9880 BUSTLETON AVE STE 213
PHILADELPHIA, PA
ZIP 19115
Phone: (215) 464-4888
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CENTER ONE DENTAL ASSOCIATES PC is a dental clinic center in Philadelphia, PA. CENTER ONE DENTAL ASSOCIATES PC NPI is 1972074250. The provider is registered as an organization entity type.

The provider's business location address is:

9880 BUSTLETON AVE STE 213
PHILADELPHIA, PA
ZIP 19115-143
Phone: (215) 464-4888

The provider's authorized official is Jatin Movalia .
The authorized official title is Manager/president and has the following contact phone number (215) 673-4888.

The CLIA number assigned to this NPI record is 39D0199149 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2018 and was last updated on 1/2/2019.


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
1261QD0000XClinic/CenterDentalYes

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

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.