Organization · Type 2 NPI

Pennsylvania Center for Dental Implants and Periodontics, LLC

Periodontics · Philadelphia, PA

NPI number 1356700835 Active

Practice location

9880 Bustleton Ave, Suite 211-212
Philadelphia, PA 19115-2185

Call (215) 677-8686 Map

Fax (215) 677-7212

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XDS022257L (PA)
Periodontics 1223P0300XDS039673 (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 1356700835

Pennsylvania Center for Dental Implants and Periodontics, LLC's National Provider Identifier is 1356700835, issued on Feb 12, 2016. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 12, 2016.