Active NPIOrganization

5TH Street Dental Center INC

Dentist, General Practice in Philadelphia, Pennsylvania

NPI Number1801939012
Practice location
4646 North 5TH St, Philadelphia, PA 19140
Fax
215-324-1950
Last updated
April 8, 2008

5TH Street Dental Center INC is a healthcare organization based in Philadelphia, PA. 5TH Street Dental Center INC practices in Philadelphia, PA. The NPI Number for 5TH Street Dental Center INC is 1801939012 and holds a License No. DS018692-L (PA). The current practice location address for 5TH Street Dental Center INC is 4646 North 5TH St, Philadelphia, PA 19140 and can be reached out via phone at 215-324-1950 and via fax at 215-324-1950.

Provider Profile Details

NPI Number
1801939012
Provider Name
5TH Street Dental Center INC
Provider Entity Type
Organization
Address
4646 North 5TH St, Philadelphia, PA 19140
Phone Number
215-324-1950
Fax Number
215-324-1950
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Sharon E Wilson · Owner · 215-324-1950
Provider Enumeration Date
February 15, 2007
Last Update Date
April 8, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
4646 North 5TH St
Philadelphia, PA 19140
Zip
19140
Phone Number
215-324-1950
Fax Number
215-324-1950
Philadelphia, PA 19140Get directions →

Provider Business Mailing Address Details

Address
4646 North 5TH St
Philadelphia, PA 19140
City
Philadelphia
State
PA
Zip
19140
Phone Number
215-324-1950
Fax Number
215-324-1950

License Information

License Number
DS018692-L
License State
PA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of 5TH Street Dental Center INC?

The NPI number of 5TH Street Dental Center INC is 1801939012. It was assigned on February 15, 2007 and is currently active in the NPPES registry.

What is the specialty of 5TH Street Dental Center INC?

5TH Street Dental Center INC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in PA under license number DS018692-L.

Where does 5TH Street Dental Center INC practice?

The practice location is 4646 North 5TH St, Philadelphia, PA 19140. The office can be reached at 215-324-1950 (phone) or 215-324-1950 (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 1801939012 directly on the NPPES registry website.

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