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Contact Information

9TH STREET DENTAL CENTER PC
821 S 9TH ST
PHILADELPHIA, PA19147-2822
 Phone: 215-629-0599
 Fax: 215-629-0596
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 9TH STREET DENTAL CENTER PC

NPI # 1134584899
LBN Legal business name 9TH STREET DENTAL CENTER PC
Authorized official TERRENCE FAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/23/2015
Last updated 12/23/2015 - About 10 years ago
Identifiers
PA License # DS-030933-L
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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