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Contact Information

5TH STREET DENTAL
2822 N 5TH ST
PHILADELPHIA, PA19133-2712
 Phone: 215-333-6825
 Fax: 215-335-4340
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 5TH STREET DENTAL

NPI # 1598044471
LBN Legal business name 5TH STREET DENTAL
Authorized official P TRIVEDI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2011
Last updated 08/10/2011 - About 15 years ago
Identifiers n/a
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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