DR. ROBERT BRUCE DRYSDALE (NPI# 1992958615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992958615 |
| Entity Type | Individual |
| Full Name | DR. ROBERT BRUCE DRYSDALE |
| Credential | DDS |
| Practice Address |
5501 Woodland Ave Gpha Phila PA 19143 |
| Mailing Address |
432 N. 6th Street Greater Philadelphia Health Action Phila PA 19123 |
| Practice Telephone | 2157244700 |
| Mailing Telephone | 2159252400 |
| Mailing Fax Number | 2159259162 |
| Enumeration Date | 2008-10-25 |
| Last Update Date | 2011-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS016146L | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1022380100001 | 05 |
| Street Address |
5501 WOODLAND AVE GPHA |
| City | PHILA |
| State | PA |
| Zip Code | 19143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554142 | Trusted Hands Care Professionals LLC | In Home Supportive Care | 1130 South Paxon Street, Philadelphia, PA 19143 | 2020-06-26 |
| 1477189140 | Kareemah Anjail Abdullah | Counselor | 5307 Chelen Ave, Philadelphia, PA 19143 | 2020-03-13 |
| 1336604024 | Mohamed Keita | Non-emergency Medical Transport (VAN) | 5030 Warrington Avenue, Philadelphia, PA 19143 | 2019-02-06 |
| 1366924011 | Whitney Tamika Carter | Specialist/Technologist | 5526 Ridgewood St, Philadelphia, PA 19143 | 2018-08-29 |
| 1639662190 | Mattew Muchnick | Physical Therapist | 4730 Hazel Ave 2r, Philadelphia, PA 19143 | 2018-06-10 |
| 1750883062 | Optimal Support for Everyday Lives | Case Management | 5800 Springfield Avenue, Philadelphia, PA 19143 | 2018-03-02 |
| 1205352671 | New Visions Case Management & Consulting, LLC | Social Worker | 726 S 55th Street, Philadelphia, PA 19143 | 2017-08-17 |
| 1104342583 | Mercy Management of Southeastern Pennsylvania | Orthopaedic Surgery | 501 S 54th St Ste 28, Phila, PA 19143 | 2017-08-17 |
| 1093238388 | Blessed Hands Home Care Agency L.L.C. | Home Health | 433 S. 57th Street, Phila, PA 19143 | 2017-07-19 |
| 1891216529 | Ashley Seiver | Occupational Therapist | 923 S. 46th Street, Philadelphia, PA 19143 | 2017-07-03 |
| Find all providers in zip 19143 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073998282 | Patelka Dental Management At Frankford | Dentist | 8037 Frankford Ave, 2nd Floor, Phila, PA 19136-2756 | 2015-07-29 |
| 1639515687 | Daniel A Rader | Dentist | 7300 City Ave Suite 210, Phila, PA 19151 | 2013-05-17 |
| 1386874170 | Allen C. Brown | Dentist | 2449 N. 54th Street, Phila, PA 19131 | 2009-07-15 |
| 1194982231 | Elaine Dorothy Stefanowicz | Dentist | 6904 Ridge Ave, Phila, PA 19128 | 2008-05-16 |
| 1538362181 | Robert Ernest Gugger Jr. | Dentist | 6227 Rising Sun Ave, Phila, PA 19111 | 2007-06-08 |
| 1265647614 | Neil Robert Fleisher | Dentist | 2417 S 9th St, Phila, PA 19148-3715 | 2007-05-11 |
| 1750428710 | Barry S Stein | Dentist | 27 So 11th Street, Phila, PA 19107 | 2007-01-31 |
| 1669528824 | Robert T Sinibaldi P.C. | Dentist | 7046 Torresdale Ave, Phila, PA 19135-1915 | 2007-01-28 |
| 1396894606 | Paul A Cohen Dds | Dentist | 6808 Frankford Ave, Phila, PA 19135 | 2007-01-09 |
| 1972665826 | Alfonso Clark | Dentist | 1344 66th Ave, Phila, PA 19126 | 2006-12-15 |
| Find all providers in PHILA | ||||
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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.