Organization · NPI-2

5th Street Dental

Dentist, General Practice · Philadelphia, PA

NPI number1598044471
StatusActive
Last updated in NPPESAug 10, 2011

Details

NPI
1598044471
Entity type
Organization (NPI-2)
Legal business name
5th Street Dental
Organization subpart
No
Enumeration date
Aug 10, 2011
Last updated
Aug 10, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

2822 N 5th St
Philadelphia, PA 19133-2712

Phone 215-333-6825 · Fax 215-335-4340

Mailing address

2822 N 5th St
Philadelphia, PA 19133-2712

Phone 215-333-6825 · Fax 215-335-4340

Authorized official

P Trivedi
Owner
2153336825

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dentist, General Practice providers in Philadelphia, PA