DR. FATHI ELGADDARI


Address: 1500 Locust St Apt 1715, Philadelphia, PA 19102-4337
Phone: 6462262477

DR. FATHI ELGADDARI (NPI# 1558720094) 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) 1558720094
Entity Type Individual
Full Name DR. FATHI ELGADDARI
Credential BDS
Practice Address 1500 Locust St Apt 1715
Philadelphia
PA 19102-4337
Mailing Address 3223 N Broad St Ofc 305
Philadelphia
PA 19140-5007
Practice Telephone 6462262477
Mailing Telephone 2157076210
Enumeration Date 2016-02-11
Last Update Date 2019-07-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
RFD000017 PA Dental Providers

Office Location

Street Address 1500 LOCUST ST APT 1715
City PHILADELPHIA
State PA
Zip Code 19102-4337

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NPI Name Taxonomy Address Enumeration
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1245898170 Parth Javia Internal Medicine 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 2019-06-05
1588120968 John Granger II Social Worker 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 2019-02-11
1750851390 Philadelphia Pain and Neurology Institute, LLC Chiropractor 1528 Walnut Street Suite 620, Philadelphia, PA 19102 2018-11-27
1770076465 Sarthi Dalal Internal Medicine 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 2018-06-07
1255824033 Joyce Nimo-boampong Internal Medicine Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 2018-06-07
1134625692 Emma Rose Gormley Social Worker 1601 Walnut St Ste 1516, Philadelphia, PA 19102 2018-04-03
1851808497 Sunish Shah Pharmacist 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 2018-01-04
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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
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
1053582742 Belinda Brown-joseph Dentist 40 West Evergreen Avenue, Suite 111, Philadelphia, PA 19118 2008-03-20
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Competitor

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City PHILADELPHIA
Zip Code 19102

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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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