Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

The Dental Pavilion Inc

Organization General Practice Dentistry · NPI 1407013311

The Dental Pavilion Inc provides General Practice Dentistry in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2008.

Licensed in
PA
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4613 Baltimore Ave
Philadelphia, PA 19143 Not confirmed with CMS for 18 years — call before visiting
Phone: (215) 386-0334
Fax: (215) 386-9323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS027201L (PA)

Record details

NPI number1407013311
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Erik Williams — Dentist Ceo · (215) 386-0334
NPI enumeratedMay 19, 2008
Last updated in NPPESMay 19, 2008
Mailing address4613 Baltimore Ave, Philadelphia, PA 19143

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