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Jonathan Mark Korostoff, DMD
Periodontist in Philadelphia, Pennsylvania
NPI 1154358042

Jonathan Mark Korostoff is a Periodontist based in Philadelphia, PA and is specialized in Periodontics. Jonathan Mark Korostoff practices in Philadelphia, PA and has the professional credentials of DMD. The NPI Number for Jonathan Mark Korostoff is 1154358042 and holds a License No. DS024789L (Pennsylvania).

The current practice location address for Jonathan Mark Korostoff is 3400 Spruce St, Philadelphia, PA and can be reached out via phone at 215-662-3580.

Location: 3400 Spruce St, Philadelphia, PA, 19104-4206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154358042
Provider Name
Jonathan Mark Korostoff
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
3400 Spruce St, Philadelphia, PA, 19104-4206
Phone Number
215-662-3580
Fax Number
Provider Enumeration Date
06/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0014770200001 05 PA
institution
Provider Business Practice Location Address Details
Address
3400 Spruce St
City
Philadelphia
State
Pennsylvania
Zip
19104-4206
Phone Number
215-662-3580
Fax Number
person
Provider Business Mailing Address Details
Address
3400 Spruce St
City
Philadelphia
State
Pennsylvania
Zip
19104-4206
Phone Number
215-662-3580
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
DS024789L (Pennsylvania)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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