DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LOCUST STREET PERIODONTICS IMPLANT DENTISTRY L.L.C.

Active Organization

LOCUST STREET PERIODONTICS IMPLANT DENTISTRY L.L.C. is a Periodontology organization located in PHILADELPHIA, Pennsylvania. NPI 1063536290 is currently active in the NPPES registry. Verify at CMS.

Periodontology · PHILADELPHIA, PA

Registration Details

NPI Number
1063536290
Provider Type
Organization
NPI Issued
Mar 16, 2007 (19.428947039407 yrs)
Last Updated
Aug 22, 2020
License
DS018466L (PA)

Practice Information

Address
1500 LOCUST ST.
SUITE 1408
PHILADELPHIA, PA, 191024314
Browse PA providers · Browse ZIP 19102
Phone
2157324450
Fax
2157359886
Primary Specialty
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.