DR. CHRISTOPHER MAROON (NPI# 1114417060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114417060 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER MAROON |
| Credential | DDS |
| Practice Address |
1575 N 52nd St Ste 705 Philadelphia PA 19131 |
| Mailing Address |
350 N Clark St Ste 600 Chicago IL 60654-4782 |
| Practice Telephone | 2158791777 |
| Mailing Telephone | 3122744526 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2019-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
0401416605 | VA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS041885 | PA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5675 N Front St, Philadelphia, PA 191202719 | 2152240440 | |
| 61 W Chelten Ave, Philadelphia, PA 191442701 | 2157132626 | |
| 400 W Allegheny Ave Ste 100, Philadelphia, PA 191333614 | 2152919200 | |
| 1575 N 52nd St Ste 705, Philadelphia, PA 19131 | 2158791777 | |
| 2107b Cottman Ave, Philadelphia, PA 191491122 | 2152354060 |
| Street Address |
1575 N 52ND ST STE 705 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619255395 | Rinta E Mathews | Dentist | 1575 N 52nd St Ste 705, Philadelphia, PA 19131 | 2011-07-28 |
| 1184257610 | Shanmukha Reddy Kallam | Dentist | 1575 N 52nd St Ste 705, Philadelphia, PA 19131-4729 | 2020-02-12 |
| 1588143135 | Wael Fares Isleem | Dentist | 1575 N 52nd St Ste 705, Philadelphia, PA 19131-4729 | 2018-08-13 |
| 1972081032 | Bisola Ajala | Dentist | 1575 N 52nd St Ste 705, Philadelphia, PA 19131-4729 | 2018-08-01 |
| 1487143541 | Tanvi Patel | Dentist | 1575 N 52nd St Ste 705, Philadelphia, PA 19131 | 2018-05-04 |
| 1386164846 | Sim Hu Ching | Dentist | 1575 N 52nd St Ste 705, Philadelphia, PA 19131-4729 | 2017-06-26 |
| 1790213841 | David Osman Basar | Dentist | 1575 N 52nd St Ste 705, Philadelphia, PA 19131-4729 | 2017-06-01 |
| 1447788955 | Leah Sung Yi | Dentist | 1575 N 52nd St Ste 705, Philadelphia, PA 19131-4729 | 2017-05-28 |
| 1609289172 | Tommy Cao | Dentist | 1575 N 52nd St Ste 705, Philadelphia, PA 19131-4729 | 2014-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1821629254 | Stephen Osowski | Student in an Organized Health Care Education/Training Program | 4170 City Avenue, Philadelphia, PA 19131 | 2020-02-04 |
| 1134774888 | Arti D Mistry | Dentist | 1126 Horsham Road, Philadelphia, PW 19131 | 2019-08-08 |
| 1275187221 | Grace Bernadette Farrelly | Occupational Therapist | 2101 Simpson House, Philadelphia, PA 19131 | 2019-07-29 |
| 1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
| 1922502582 | Kevin David Wojcik | Student in an Organized Health Care Education/Training Program | Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 | 2018-03-20 |
| 1235633900 | Nadja Hill | Home Health | 5203 Diamond Street, Philadelphia, PA 19131 | 2018-03-19 |
| 1932623857 | Mercy Management of Sepa | Social Worker | 1575 N 52nd St Ste 800, Philadelphia, PA 19131 | 2017-08-02 |
| 1578092235 | Sarah Marie Hoder | Specialist/Technologist | 4000 Presidential Avenue, Philadlephia, PA 19131 | 2017-06-07 |
| Find all providers in zip 19131 | ||||
| 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 | 19131 |
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| 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.