CENTER ONE DENTAL ASSOCIATES PC


Address: 9880 Bustleton Ave Ste 213, Philadelphia, PA 19115-2143
Phone: 2154644888

CENTER ONE DENTAL ASSOCIATES PC (NPI# 1972074250) 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) 1972074250
Entity Type Organization
Organization Name CENTER ONE DENTAL ASSOCIATES PC
Practice Address 9880 Bustleton Ave Ste 213
Philadelphia
PA 19115-2143
Practice Telephone 2154644888
Mailing Telephone 2154644888
Enumeration Date 2018-12-11
Last Update Date 2019-01-02
Authorized Official Name MR. JATIN MOVALIA (MANAGER/PRESIDENT)
Authorized Official Telephone 2156734888
Authorized Official Credential MANAGER
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Office Location

Street Address 9880 BUSTLETON AVE STE 213
City PHILADELPHIA
State PA
Zip Code 19115-2143

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1245604008 Saria Ibrahim Counselor 9651 Clark Street, Philadelphia, PA 19115 2015-11-17
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124642897 Walnut Street Smiles PC Clinic/Center 1601 Walnut St Ste 1025, Philadelphia, PA 19102-2911 2020-05-29
1215574355 Smile Team PC Clinic/Center 9301 Banes St, Philadelphia, PA 19115-4201 2019-12-09
1558913129 Advanced Dentistry of Center City Clinic/Center 1601 Walnut St Ste 600, Philadelphia, PA 19102-2904 2019-07-12
1841852241 Cil Institute Inc Clinic/Center 3508 Market St Ste 256, Philadelphia, PA 19104-3320 2019-07-05
1154982775 K Dental LLC Clinic/Center 6214 Bustleton Avenue, Philadelphia, PA 19149 2019-06-25
1598221129 Minard Duka Dmd PC Clinic/Center 9501 Hilspach St, Philadelphia, PA 19115-3918 2019-02-19
1851855993 Advanced Dentistry of Philadelphia Clinic/Center 7501 Stenton Ave, Philadelphia, PA 19150-3710 2019-01-23
1811468929 Old City Orthodontics LLC Clinic/Center 14 S 3rd Street, 1st Floor, Philadelphia, PA 19106 2018-12-16
1972072908 City Dental LLC Clinic/Center 1100 Washington Ave 2nd Floor, Philadelphia, PA 19147 2018-11-20
1093298325 Friendly Smile Dental Inc Clinic/Center 7608 Castor Ave 1 St Floor, Philadelphia, PA 19152 2018-09-12
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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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