360 Dental, PC
Clinic/Center, Dental in Philadelphia, Pennsylvania
1063893535- Practice location
- 1350 E Lycoming St, Philadelphia, PA 19124-5354
- Phone
- 267-242-1709
- Fax
- —
- Last updated
- June 10, 2015
360 Dental, PC is a healthcare organization based in Philadelphia, PA. The NPI number for 360 Dental, PC is 1063893535 and holds license No. DS038816 (PA). The current practice location address is 1350 E Lycoming St, Philadelphia, PA 19124-5354 and the office can be reached by phone at 267-242-1709. The NPI was assigned on June 10, 2015 and the record was last updated in NPPES on June 10, 2015.
●Provider Profile Details
- NPI Number
- 1063893535
- Provider Name
- 360 Dental, PC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Clinic/Center, Dental · 261QD0000X
- Organization Subpart
- No
- Authorized Official
- Dr. Mikhail Sitkovetsky, DDS · Owner/Doctor · 215-962-2242
- Enumeration Date
- June 10, 2015
- Last Update Date
- June 10, 2015
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 1350 E Lycoming St
Philadelphia, PA 19124-5354 - City
- Philadelphia
- State
- Pennsylvania
- ZIP
- 19124-5354
- Country
- US
- Phone Number
- 267-242-1709
✉Business Mailing Address
- Address
- 1350 E Lycoming St
Philadelphia, PA 19124-5354 - City
- Philadelphia
- State
- PA
- ZIP
- 19124-5354
- Phone Number
- 267-242-1709
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Clinic/Center, Dental | 261QD0000X | Yes | DS038816 | PA |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Philadelphia →?Frequently Asked Questions
What is the NPI number of 360 Dental, PC?
The NPI number of 360 Dental, PC is 1063893535. It was assigned on June 10, 2015 and is currently active in the NPPES registry.
What is the specialty of 360 Dental, PC?
360 Dental, PC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X) and holds license No. DS038816 (PA).
Where does 360 Dental, PC practice?
The practice location is 1350 E Lycoming St, Philadelphia, PA 19124-5354. The office can be reached at 267-242-1709 (phone).
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 1063893535 directly on the NPPES registry website at npiregistry.cms.hhs.gov.