Individual provider · Type 1 NPI

Pushpa N. Domadia, DDS

General Practice Dentistry · Philadelphia, PA

NPI number 1902895196 Active

Practice location

128 E Allegheny Ave.
Philadelphia, PA 19134-2207

Call (215) 634-4647 Map

Fax (215) 634-4647

Mailing address

128 E Allegheny Ave
Philadelphia, PA 19134-2207

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDS021004-L (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 1902895196

Pushpa N. Domadia, DDS's National Provider Identifier is 1902895196, issued on Oct 19, 2005. 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 13, 2026.