Individual provider · Type 1 NPI

Dominique Gnatowski

General Practice Dentistry · Philadelphia, PA

NPI number 1114595931 Active

Practice location

4250 Richmond St
Philadelphia, PA 19137-1928

Call (215) 533-2787 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program 390200000X13202
General Practice Dentistry Primary 1223G0001XDS045348 (PA)

General Practice Dentistry: 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.

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About NPI 1114595931

Dominique Gnatowski's National Provider Identifier is 1114595931, issued on Jun 17, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 29, 2025.