Organization · Type 2 NPI
Northeast Pediatric Dental LLC
Pediatric Dentistry · Philadelphia, PA
NPI number
1053087759
Active
Practice location
7122 Rising Sun Ave
Philadelphia, PA 19111-3957
Mailing address
45 Village Sq
Paoli, PA 19301-2108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
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- University of Penn Chop DentalPediatric Dentistry Philadelphia, PA NPI 1235346883
- Irving W. Jacobson DMD PCPediatric Dentistry Philadelphia, PA NPI 1316972839
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About NPI 1053087759
Northeast Pediatric Dental LLC's National Provider Identifier is 1053087759, issued on Aug 22, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 22, 2021.