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ELITE DENTAL LLC
NPI 1033614136
Dentist - General Practice in Philadelphia, PA

Active since March 29, 2018
5597 TULIP ST STE B4, PHILADELPHIA, PA 19124(215) 288-8008 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2020, Mar 29, 2018 (2 updates tracked since 2018).

About Elite Dental Llc NPPES

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

ELITE DENTAL LLC (NPI 1033614136) is a healthcare organization registered as a general practice in Philadelphia, Pennsylvania and active in the NPI registry since March 2018. The organization lists Phil Kural, Director Doctor Credentialing, as its authorized official.

NPPES Registry Identity

NPI1033614136
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameELITE DENTAL LLC
Location Address5597 TULIP ST STE B4Philadelphia, PA 19124-1562
Mailing Address350 N Clark St Ste 600Chicago, IL 60654-4782
Phone(215) 288-8008
Organization SubpartNo
Authorized OfficialPhil KuralDirector Doctor Credentialing · (312) 274-4526
Enumeration DateMarch 29, 2018
Last NPPES UpdateMarch 12, 20202 updates tracked since enumeration
NPPES CertifiedMarch 12, 2020
✔ NPI 1033614136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5597 TULIP ST STE B4, Philadelphia, PA 19124
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

DR. SAMANTHA SLUTSKY DMD
Dentist
5597 TULIP ST STE B4
PHILADELPHIA, PA 19124
Philadelphia County (215) 344-7400
DR. ROXANA L MACIEJESKI DDS
Dentist
5597 TULIP ST STE B4
PHILADELPHIA, PA 19124
Philadelphia County (702) 600-3964
JOUNG YUN CHOI
Dentist (General Practice)
5597 TULIP ST STE B4
PHILADELPHIA, PA 19124
Philadelphia County (215) 288-8008
ANISHA CHANDRAMOULI
Dentist
5597 TULIP ST STE B4
PHILADELPHIA, PA 19124
Philadelphia County (215) 288-8008
FADY BASILI DDS
Dentist
5597 TULIP ST STE B4
PHILADELPHIA, PA 19124
Philadelphia County (732) 277-6427
JONATHAN CHEN DDS
Dentist
5597 TULIP ST STE B4
PHILADELPHIA, PA 19124
Philadelphia County (215) 288-8008

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 Elite Dental LLC's NPI number?

The NPI number for Elite Dental LLC is 1033614136. It was assigned to this organization in the NPPES registry on March 29, 2018.

Where is Elite Dental LLC located?

Elite Dental LLC is located at 5597 Tulip St Ste B4, Philadelphia, PA 19124. The listed phone number is (215) 288-8008.

What is Elite Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Elite Dental LLC was last updated on March 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.