DR. MEENA MATLOOB


Address: 240 S 40th St, Philadelphia, PA 19104-6030
Phone: 2158988965

DR. MEENA MATLOOB (NPI# 1992304497) 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) 1992304497
Entity Type Individual
Full Name DR. MEENA MATLOOB
Credential DMD
Practice Address 240 S 40th St
Philadelphia
PA 19104-6030
Mailing Address 10 Amsterdam Ave Apt 203
New York
NY 10023-7489
Practice Telephone 2158988965
Mailing Telephone 8182639644
Enumeration Date 2020-10-26
Last Update Date 2020-10-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist DS042921 PA Dental Providers
Y 122300000X Dentist 22DI02776300 NJ Dental Providers

Office Location

Street Address 240 S 40TH ST
City PHILADELPHIA
State PA
Zip Code 19104-6030

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821034588 Najeed Saleh Dentist 240 S 40th St, Philadelphia, PA 19104-6030 2006-06-21
1164023800 Nasim Levin Dentist 240 S 40th St, Philadelphia, PA 19104-6030 2020-11-07
1851905905 Nathan Yip Specialist 240 S 40th St, Philadelphia, PA 19104-6030 2020-09-06
1730706334 Jessie Jiang Student in an Organized Health Care Education/Training Program 240 S 40th St, Philadelphia, PA 19104-6030 2020-06-30
1376160192 Rebecca Gollub Dentist 240 S 40th St, Philadelphia, PA 19104-6030 2020-06-26
1629697586 Sri Sai Jaahnavi Kodali Student in an Organized Health Care Education/Training Program 240 S 40th St, Philadelphia, PA 19104-6030 2020-04-10
1053930214 Victoria Wei Student in an Organized Health Care Education/Training Program 240 S 40th St, Philadelphia, PA 19104-6030 2020-04-08
1548899800 Laharee Parikh Student in an Organized Health Care Education/Training Program 240 S 40th St, Philadelphia, PA 19104-6030 2020-04-07
1467081422 Jian Wei Lee Dentist 240 S 40th St, Philadelphia, PA 19104-6030 2020-04-02
1710512090 Joshua Mayer Dentist 240 S 40th St, Philadelphia, PA 19104-6030 2020-03-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396351318 Mostafa Alwakeel Dentist 5450 Wissahickon Ave Apt B232, Philadelphia, PA 19144-5404 2020-09-16
1811508922 Eleine Laffita Aguilera Dentist 4040 Spruce St Apt 5, Philadelphia, PA 19104-4130 2020-08-12
1053921932 Priyanka Patel Dentist Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 2020-08-05
1578172128 Selena Nguyen Dentist 4837 N Broad St, Philadelphia, PA 19141-2107 2020-07-29
1447869235 Artistic Smile LLC Dentist 2801 Island Ave Ste 5, Philadelphia, PA 19153-2326 2020-07-28
1619585270 Dentist Near Me Pllc Dentist 1603 South St, Philadelphia, PA 19146-1541 2020-07-20
1073121281 Olga Stepanchenko Dentist 1919 Bowler St, Philadelphia, PA 19115-3211 2020-07-14
1578101630 Maryam Khalili Dentist 3223 N Broad St Ofc 314, Philadelphia, PA 19140-5007 2019-12-19
1952947152 Navy Yard Dental Associates, Pllc Dentist 1 Crescent Dr Ste 300, Philadelphia, PA 19112-1015 2019-11-22
1518502632 Rujuta Shukla Dentist 4055 Ridge Ave Apt 8402, Philadelphia, PA 19129-1666 2019-11-12
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19104

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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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