Organization · Type 2 NPI

Locust Street Periodontics Implant Dentistry L.l.c.

Periodontics · Philadelphia, PA

NPI number 1063536290 Active

Practice location

1500 Locust St., Suite 1408
Philadelphia, PA 19102-4314

Call (215) 732-4450 Map

Fax (215) 735-9886

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XDS018466L (PA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1063536290

Locust Street Periodontics Implant Dentistry L.l.c.'s National Provider Identifier is 1063536290, issued on Mar 16, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 22, 2020.