Main Street Dental Center City PC
Main Street Dental Center City PC provides General Practice Dentistry in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.
- Licensed in
- PA
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1048 S StPhiladelphia, PA 19147-1935 Not confirmed with CMS for 15 years — call before visiting
Phone: (215) 627-1995
Fax: (215) 627-1999
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DS019673L (PA) |
|---|
Record details
| NPI number | 1639370661 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Eidelson — President Dentist · (215) 627-1995 |
| NPI enumerated | May 29, 2007 |
| Last updated in NPPES | April 22, 2011 |
| Mailing address | 1048 South St, Philadelphia, PA 19147-1935 |
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