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NICHOLAS COSMETIC DENTAL CENTER INC NPI 1992088785


NPI Information

NPI: 1992088785
Provider Name: NICHOLAS COSMETIC DENTAL CENTER INC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1128 WALNUT STREET
5TH FLOOR
PHILADELPHIA, PA
ZIP 19107
Phone: (646) 241-6384
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NICHOLAS COSMETIC DENTAL CENTER INC 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. NICHOLAS COSMETIC DENTAL CENTER INC NPI is 1992088785. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1128 WALNUT STREET
5TH FLOOR
PHILADELPHIA, PA
ZIP 19107
Phone: (646) 241-6384

The provider's authorized official is Shireen Malik .
The authorized official title is Dentist and has the following contact phone number (917) 239-9313.

The enumeration date for this NPI number is 9/28/2011 and was last updated on 9/28/2011.


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 PracticeDS038604PENNSYLVANIAYes

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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