Organization · Type 2 NPI

If Services

General Practice Dentistry · Philadelphia, PA

NPI number 1265608020 Active

Practice location

11911 Bustleton Ave
Philadelphia, PA 19116-2541

Fax (215) 673-9052

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDS029548L (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.

5 other providers at this address

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About NPI 1265608020

If Services's National Provider Identifier is 1265608020, issued on May 1, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Philadelphia, PA. The record was last updated on May 1, 2008.