Pediatric Dental Associates, Ltd

LBN: Pediatric Dental Associates, Ltd
Pediatric Dental Associates, Ltd is an health care organization with primary practice located at 2301 E Allegheny Ave Suite 201, Philadelphia PA 19134-4427. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Pediatric Dental Associates, Ltd can be contacted via phone (215) 707-1030, or through Goldstein, Mark S via phone (215) 707-1016.

Contact Information

Primary practice address
2301 E Allegheny Ave Suite 201 Philadelphia PA 19134-4427
Phone: (215) 707-1030
Fax: (215) 707-0083
Website:
Map and Directions
Authorized official contact:
Name: Goldstein, Mark S Doctor of Dental Surgery (DDS)
Phone: (215) 707-1016

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DS036846 Pennsylvania

Profile Details

NPI number 1639558950
LBN Legal business name Pediatric Dental Associates, Ltd
DBA Doing business as
Authorized official Goldstein, Mark S Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2015
Last updated May 19th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639558950 NPPES
Pennsylvania MEDICAID 0005299280006

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