- Practice location
- 1601 Walnut St, Suite 801, Phila, PA 19102
- Phone
- 215-567-4949
- Fax
- 215-567-0901
- Last updated
- May 19, 2016
2020DENTISTRY is a healthcare organization based in Phila, PA. The NPI number for 2020DENTISTRY is 1063869030 and holds license No. 027190-L (PA). The current practice location address is 1601 Walnut St, Suite 801, Phila, PA 19102 and the office can be reached by phone at 215-567-4949 and by fax at 215-567-0901. The NPI was assigned on May 19, 2016 and the record was last updated in NPPES on May 19, 2016.
●Provider Profile Details
- NPI Number
- 1063869030
- Provider Name
- 2020DENTISTRY
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Dr. Pierre J Mouradian, DMD · Dentist · 215-567-4949
- Enumeration Date
- May 19, 2016
- Last Update Date
- May 19, 2016
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 1601 Walnut St
Suite 801
Phila, PA 19102 - City
- Phila
- State
- Pennsylvania
- ZIP
- 19102
- Country
- US
- Phone Number
- 215-567-4949
- Fax Number
- 215-567-0901
✉Business Mailing Address
- Address
- 1601 Walnut St
Suite 801
Philadelphia, PA 19102-2944 - City
- Philadelphia
- State
- PA
- ZIP
- 19102-2944
- Phone Number
- 215-567-4949
- Fax Number
- 215-567-0901
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Dentist 193400000X - Single Specialty Group | 122300000X | Yes | 027190-L | PA |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Phila, PA
View all providers in Phila →?Frequently Asked Questions
What is the NPI number of 2020DENTISTRY?
The NPI number of 2020DENTISTRY is 1063869030. It was assigned on May 19, 2016 and is currently active in the NPPES registry.
What is the specialty of 2020DENTISTRY?
2020DENTISTRY is registered under the primary taxonomy Dentist (code 122300000X) and holds license No. 027190-L (PA).
Where does 2020DENTISTRY practice?
The practice location is 1601 Walnut St, Suite 801, Phila, PA 19102. The office can be reached at 215-567-4949 (phone) or 215-567-0901 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063869030 directly on the NPPES registry website at npiregistry.cms.hhs.gov.