National Provider Identifier Database

DENTISTRY AT 1818 MARKET ST
Advanced Practice Dental Therapist

An Advanced Practice Dental Therapist is: (1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or (2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum. The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations.


Contact Information

DENTISTRY AT 1818 MARKET ST
1818 MARKET ST
SUITE 100
PHILADELPHIA, PA19103-3638
Phone: 215-567-2666
Fax:
Website:
Specialty Taxonomy Code
* Advanced Practice Dental Therapist 125K00000X

* Indicates primary specialty

NPI Profile & details for DENTISTRY AT 1818 MARKET ST

NPI Number 1831642917
Legal business name
LBN
DENTISTRY AT 1818 MARKET ST
Authorized official ELAINE COADY - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 07/26/2016
Last updated 07/26/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: DS017950

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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