Individual provider · Type 1 NPI

Samantha Ting Guan

Pediatric Dentistry · Philadelphia, PA

NPI number 1811570658 Active

Practice location

6595C Roosevelt Blvd
Philadelphia, PA 19149-2918

Call (215) 743-3700 Map

Fax (215) 743-3715

Mailing address

400 Beale St
Quincy, MA 02170-3228

Other practice locations

  • 4400 Emile St # 3602, Omaha, NE 68198-0600 · (402) 559-6000
  • 2301 E Allegheny Ave Ste 201, Philadelphia, PA 19134-4427 · (215) 282-8000
  • 805 Route 38, Cherry Hill, NJ 08002-2850 · (856) 281-7600

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X7714 (NE)
Pediatric Dentistry 1223P0221X22DI03027500 (NJ)
Pediatric Dentistry Primary 1223P0221XDS043509 (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.

2 other providers at this address

Other pediatric dentistry providers in Philadelphia

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About NPI 1811570658

Samantha Ting Guan's National Provider Identifier is 1811570658, issued on Apr 29, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 9, 2024.