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PEDIATRIC DENTAL ASSOCIATES LTD
NPI 1023276656
Dentist - Pediatric Dentistry in Philadelphia, PA

Active since May 30, 2008
6404 ROOSEVELT BLVD, LOWER LEVEL, PHILADELPHIA, PA 19149(215) 743-3700(215) 743-3715 Get Directions Write a Review

NPPES record last updated: March 15, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Pediatric Dental Associates Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC DENTAL ASSOCIATES LTD (NPI 1023276656) is a healthcare organization registered as a pediatric dentistry in Philadelphia, Pennsylvania and active in the NPI registry since May 2008. The organization lists Joanne Coll, Insurance Manager, as its authorized official.

NPPES Registry Identity

NPI1023276656
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTAL ASSOCIATES LTD
Location Address6404 ROOSEVELT BLVD, LOWER LEVELPhiladelphia, PA 19149-2943
Mailing Address6404 Roosevelt Blvd, Lower LevelPhiladelphia, PA 19149-2943 · (215) 743-3700 · Fax (215) 743-3715
Phone(215) 743-3700
Fax(215) 743-3715
Organization SubpartNo
Authorized OfficialJoanne CollInsurance Manager · (215) 743-3700
Enumeration DateMay 30, 2008
Last NPPES UpdateMarch 15, 2012
✔ NPI 1023276656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in PA · DS025205L
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
6404 ROOSEVELT BLVD, Philadelphia, PA 19149
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIFE REVIVAL LLC
Community/Behavioral Health
6404 ROOSEVELT BLVD
PHILADELPHIA, PA 19149
Philadelphia County (267) 577-7747
DR. STEPHEN MICHAEL GAROFALO D.C.
Chiropractor
6404 ROOSEVELT BLVD, SUITE 1C
PHILADELPHIA, PA 19149
Philadelphia County (267) 788-1789
ABOLARIN LLC
Dentist (General Practice)
6404 ROOSEVELT BLVD, 2ND FLOOR
PHILADELPHIA, PA 19149
Philadelphia County (215) 831-1023
MICHAEL ROSENBAUM DMD
Dentist (Pediatric Dentistry)
6404 ROOSEVELT BLVD
PHILADELPHIA, PA 19149
Philadelphia County (215) 743-3700
SASHA MANCHANDA
Dentist (Pediatric Dentistry)
6404 ROOSEVELT BLVD
PHILADELPHIA, PA 19149
Philadelphia County (215) 743-3700
MARK GOLDSTEIN DDS
Dentist (Pediatric Dentistry)
6404 ROOSEVELT BLVD
PHILADELPHIA, PA 19149
Philadelphia County (215) 743-3700
DR. PHILIP T. SIEGEL DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
6404 ROOSEVELT BLVD
PHILADELPHIA, PA 19149
Philadelphia County (215) 743-3700
SHARON K HAMILTON DMD
Dentist (Pediatric Dentistry)
6404 ROOSEVELT BLVD
PHILADELPHIA, PA 19149
Philadelphia County (215) 743-3700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Dental Associates Ltd's NPI number?

The NPI number for Pediatric Dental Associates Ltd is 1023276656. It was assigned to this organization in the NPPES registry on May 30, 2008.

Where is Pediatric Dental Associates Ltd located?

Pediatric Dental Associates Ltd is located at 6404 Roosevelt Blvd Lower Level, Philadelphia, PA 19149. The listed phone number is (215) 743-3700.

What is Pediatric Dental Associates Ltd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Pediatric Dental Associates Ltd was last updated on March 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.