Center City Periodontists, P.C.
Dentist, Periodontics in Philadelphia, PA. Organization (NPI-2).
NPI number1164517140
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1164517140
- Entity type
- Organization (NPI-2)
- Legal business name
- Center City Periodontists, P.C.
- Organization subpart
- No
- Enumeration date
- Oct 4, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | DS-016719-L | PA | Yes |
Practice location
1500 Locust StSuite 1413
Philadelphia, PA 19102-4329
Phone 215-546-3700 · Fax 215-546-0393
Mailing address
1500 Locust StSuite 1413
Philadelphia, PA 19102-4329
Phone 215-546-3700 · Fax 215-546-0393
Authorized official
Carole N. Hildebrand
President
2155463700
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