PENNSYLVANIA CENTER FOR DENTAL IMPLANTS AND PERIODONTICS


Address: 9880 Bustleton Ave, #211-212, Philadelphia, PA 19115-2185
Phone: 2156778686

PENNSYLVANIA CENTER FOR DENTAL IMPLANTS AND PERIODONTICS (NPI# 1417031923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417031923
Entity Type Organization
Organization Name PENNSYLVANIA CENTER FOR DENTAL IMPLANTS AND PERIODONTICS
Practice Address 9880 Bustleton Ave
#211-212
Philadelphia
PA 19115-2185
Practice Telephone 2156778686
Practice Fax Number 2156777212
Mailing Telephone 2156778686
Mailing Fax Number 2156777212
Enumeration Date 2006-10-24
Last Update Date 2020-08-22
Authorized Official Name DR. ROBERT A LEVINE (OWNER)
Authorized Official Telephone 2156778686
Authorized Official Credential DDS,PC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
DS022257L PA Dental Providers

Office Location

Street Address 9880 BUSTLETON AVE
#211-212
City PHILADELPHIA
State PA
Zip Code 19115-2185

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356700835 Pennsylvania Center for Dental Implants and Periodontics, LLC Dentist 9880 Bustleton Ave, Suite 211-212, Philadelphia, PA 19115-2185 2016-02-12
1346680519 Ksenia Smirnov Nurse Practitioner 9880 Bustleton Ave, Suite 208, Philadelphia, PA 19115-2185 2013-07-02
1568765857 Stephen E Band Dentist 9880 Bustleton Ave, Philadelphia, PA 19115-2185 2010-12-08
1003129685 Janna Prater Internal Medicine 9880 Bustleton Ave, Suite 220, Philadelphia, PA 19115-2185 2010-07-23
1891010229 Albert Einstein Medical Center Pharmacy 9880 Bustleton Ave, Suite 332, Philadelphia, PA 19115-2185 2010-03-29
1760604755 Tatyana Shekhterman Physical Therapist 9880 Bustleton Ave, Philadelphia, PA 19115-2185 2007-05-02
1467679738 Jane Mayrin Internal Medicine 9880 Bustleton Ave, Ste 220, Philadelphia, PA 19115-2185 2007-04-19
1144306275 Robert A Levine Dentist 9880 Bustleton Ave, Suite 211-212, Philadelphia, PA 19115-2185 2006-10-31
1023110152 Lisa K. Jablon Surgery 9880 Bustleton Ave, Suite 205, Philadelphia, PA 19115-2185 2006-09-01
1962513564 Richard H. Greenberg Surgery 9880 Bustleton Ave, Suite 205, Philadelphia, PA 19115-2185 2006-08-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205442696 Bj's Wholesale Club Inc. Eyewear Supplier (Equipment, not the service) 2044 Red Lion Road, Philadelphia, PA 19115 2020-09-21
1639717762 Cassondra Ondeck Physical Therapist Paul's Run Retirement Community, 9896 Bustleton Ave, Philadelphia, PA 19115 2019-12-19
1740747641 Comfort Ride Transit Inc Non-emergency Medical Transport (VAN) 248 Geiger Road, Suite 201 Unit D, Philadelphia, PA 19115 2019-02-27
1386101400 Ashley Thomas Physician Assistant 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 2019-02-25
1659857027 Kiesha Anita Abney Occupational Therapy Assistant Chapel Manor (genesis Rehabilitation) 1104 Welsh Road, Philadelphia, PA 19115 2018-07-18
1457844870 Philadelphia Discount Pharmacy LLC Pharmacist 842 Red Lion Road Unit 13, Philadephia, PA 19115 2018-06-11
1770001828 Ciarra Bell Occupational Therapist 828 Red Lion Rd, Philadelphia, PA 19115 2017-09-08
1245604008 Saria Ibrahim Counselor 9651 Clark Street, Philadelphia, PA 19115 2015-11-17
1124413166 Global Dental Plus LLC Dentist 9630 Bustleton Av 2nd Fl, Philadelphia, PA 19115 2015-04-06
1932510161 Miriam John Occupational Therapist 9997 Sandy Road, Philadelphia, PA 19115 2014-05-09
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Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235792458 Fany Briseyda Ocampo Dentist 2137 Welsh Rd Ste 2a, Philadelphia, PA 19115-4963 2019-04-15
1992261036 Manal Sabir Dentist 2200 Benjamin Franklin Pkwy Apt S1603, Philadelphia, PA 19130-3618 2019-02-13
1104378611 Natalie Amoa Dentist 8021b Castor Ave, Philadelphia, PA 19152-2733 2016-10-31
1558720094 Fathi Elgaddari Dentist 1500 Locust St Apt 1715, Philadelphia, PA 19102-4337 2016-02-11
1790185528 David Paul Semeniuk Dentist 3223 N Broad St Rm 302, Philadelphia, PA 19140-5007 2014-08-28
1740616895 Periodontal Consultants PC Dentist 2546 S Broad St Rear, Philadelphia, PA 19145-4638 2013-09-20
1942548664 Peter Robert Hunt Dentist 266 S 21st St, Philadelphia, PA 19103-4860 2013-01-31
1083999759 Merriam Seyedain Dentist 3223 N Broad St Ste 2a07, Philadelphia, PA 19140-5007 2011-10-13
1710275284 Juan Carlos Cabrera Dentist 220 S 16th St Ste 901, Philadelphia, PA 19102-3309 2011-07-18
1982867412 Scott Nakamura Dentist 240 S 4th St # 300, Philadelphia, PA 19106-3722 2008-07-03
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19115

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Dataset Information

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.

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