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

PENNSYLVANIA CENTER FOR DENTAL IMPLANTS AND PERIODONTICS

Active Organization

PENNSYLVANIA CENTER FOR DENTAL IMPLANTS AND PERIODONTICS is a Periodontology organization located in PHILADELPHIA, Pennsylvania. NPI 1417031923 is currently active in the NPPES registry. Verify at CMS.

Periodontology · PHILADELPHIA, PA

Registration Details

NPI Number
1417031923
Provider Type
Organization
NPI Issued
Oct 24, 2006 (19.82026098902 yrs)
Last Updated
Aug 22, 2020
License
DS022257L (PA)

Practice Information

Address
9880 BUSTLETON AVE
#211-212
PHILADELPHIA, PA, 191152185
Browse PA providers · Browse ZIP 19115
Phone
2156778686
Fax
2156777212
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.