ACADEMY FAMILY DENTAL CARE (NPI# 1063770378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063770378 |
Entity Type | Organization |
Organization Name | ACADEMY FAMILY DENTAL CARE |
Practice Address |
10431 Academy Rd Suite A Philadelphia PA 19114-1126 |
Practice Telephone | 2156377474 |
Practice Fax Number | 2156374408 |
Mailing Telephone | 2156377474 |
Mailing Fax Number | 2156374408 |
Enumeration Date | 2012-04-25 |
Last Update Date | 2012-04-25 |
Authorized Official Name | DR. JUNAID K CHAUDHRY (PRESIDENT) |
Authorized Official Telephone | 2156377474 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 124Q00000X | Dental Hygienist | DH070997 | PA | Dental Providers |
Y | 1223G0001X |
Dentist Specialization: General Practice |
DS029793L | PA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | DENTAL LICENSE STATE OF PENNSYLVANIA | DS029793L | 01 |
Street Address |
10431 ACADEMY RD SUITE A |
City | PHILADELPHIA |
State | PA |
Zip Code | 19114-1126 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992714372 | Francis Joseph Mccaffery Iv | Chiropractor | 10431 Academy Rd, Suite C, Philadelphia, PA 19114-1126 | 2006-08-05 |
1972994010 | Elena Ogan Dmd, LLC | Clinic/Center | 10431 Academy Rd, Suite K, Philadelphia, PA 19114-1137 | 2015-02-11 |
1851532568 | Elena Ogan | Dentist | 10431 Academy Rd, Suite K, Philadelphia, PA 19114-1126 | 2009-03-11 |
1265631626 | Academy Road Medical Associates, LLC | Family Medicine | 10431 Academy Rd, Suite J, Philadelphia, PA 19114-1126 | 2007-07-16 |
1972721231 | Frank J. Mccaffery Iv,d.c.,p.c. | Chiropractor | 10431 Academy Rd, Suite C, Philadelphia, PA 19114-1126 | 2007-04-23 |
1356465322 | Li Sheng Wang | Acupuncturist | 10431 Academy Rd, Unit F, Philadelphia, PA 19114-1126 | 2007-03-16 |
1710031935 | Rajni C Shah | Dentist | 10431 Academy Rd, Suite A, Philadelphia, PA 19114-1126 | 2007-01-23 |
1528077690 | Jeffrey Bendler | Dentist | 10431 Academy Rd, Ste K, Philadelphia, PA 19114-1126 | 2006-08-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164029906 | Phuoc Nguyen | Nurse Anesthetist, Certified Registered | Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 | 2020-10-05 |
1053921932 | Priyanka Patel | Dentist | Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 | 2020-08-05 |
1215419080 | Thomas Patrick Gallagher | Specialist/Technologist | 2708 Ruth Way, Philadelphia, PA 19114 | 2018-08-29 |
1558840223 | Alexis Wenger | Early Intervention Provider Agency | 3810 Aubrey Ave, Phila, PA 19114 | 2018-08-13 |
1245759232 | Newlands Health | Clinic/Center | 9625 Frankford Ave., Philadelphia, PA 19114 | 2017-09-12 |
1619491453 | Nazareth Physician Services Inc | Social Worker | 9815 Roosevelt Blvd Ste G, Philadelphia, PA 19114 | 2017-08-02 |
1326561606 | L.s. Share & Love Support Coordinating Agency, LLC | Case Management | 3600 Red Lion Road, Apt 68c, Philadelphia, PA 19114 | 2017-07-19 |
1760911952 | Charles C Richards II | Counselor | 2555 Welsh Rd, Apt 407, Philadelphia, PA 19114 | 2017-06-09 |
1801338686 | April Neuls | Physical Therapy Assistant | 4213 Lackland Place, Philadelphia, PA 19114 | 2016-11-10 |
1114317583 | Siji Cyriac | Physical Therapist | 9501 State Road, Philadelphia, PA 19114 | 2015-01-23 |
Find all providers in zip 19114 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
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. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790385581 | Samir Zahedpasha | Dentist | 1933 Delancey Pl, Philadelphia, PA 19103-6611 | 2020-10-29 |
1164040424 | Aledy Miguelina Moreta | Dentist | 1813 Vineyard St, Philadelphia, PA 19130-2122 | 2020-07-13 |
1033737473 | David Agia | Dentist | 1318 Franklin Mills Cir # 807, Philadelphia, PA 19154-3130 | 2020-07-13 |
1710504113 | Hanna Lee | Dentist | 1616 S Rosewood St, Philadelphia, PA 19145-1519 | 2020-07-01 |
1982221636 | Aldo Profka | Dentist | 8001 Roosevelt Blvd Ste 304, Philadelphia, PA 19152-3039 | 2020-06-29 |
1558985317 | Oxford Dental LLC | Dentist | 5233 Oxford Ave, Philadelphia, PA 19124-1803 | 2020-06-07 |
1487277935 | Issam Ghaben | Dentist | 4210 Sansom St, Philadelphia, PA 19104-3589 | 2020-05-19 |
1508490509 | Mount Airy Family Dental LLC | Dentist | 1600 Ivy Hill Rd, Philadelphia, PA 19150-1008 | 2020-02-27 |
1801436506 | Special Outreach Services, PC | Dentist | 2301 E Allegheny Ave Ste 202, Philadelphia, PA 19134-4427 | 2020-01-10 |
1720624547 | Philadelphia Mills Dental Center | Dentist | 1318 Franklin Mills Cir #807, Philadelphia, PA 19154 | 2019-11-27 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19114 |
Please comment or provide details below to improve the information on ACADEMY FAMILY DENTAL CARE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.