Individual provider · Type 1 NPI

Liara Destiny Vinson, DDS

Pediatric Dentistry · Philadelphia, PA

NPI number 1689299067 Active

Practice location

160 E Erie Ave
Philadelphia, PA 19134-1011

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDS043071 (PA)

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.

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About NPI 1689299067

Liara Destiny Vinson, DDS's National Provider Identifier is 1689299067, issued on Jun 11, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Philadelphia, PA. The record was last updated on May 29, 2026.