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STIVEN MITA DMD LLC
NPI 1043096159
Clinic/Center - Dental in Philadelphia, PA

Active since September 05, 2023
2438 BROWN ST UNIT 1, PHILADELPHIA, PA 19130(215) 236-6200(215) 236-2377 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2025, Sep 5, 2023 (2 updates tracked since 2023).

About Stiven Mita Dmd Llc NPPES

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

STIVEN MITA DMD LLC (NPI 1043096159), doing business as Mita Dental, is a healthcare organization registered as a dental in Philadelphia, Pennsylvania and active in the NPI registry since September 2023. The organization maintains a secondary practice location in Medford and lists Stiven Mita, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1043096159
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSTIVEN MITA DMD LLC
Location Address2438 BROWN ST UNIT 1Philadelphia, PA 19130-1932
Mailing Address2438 Brown St Unit 1Philadelphia, PA 19130-1932
Phone(215) 236-6200
Fax(215) 236-2377
Organization SubpartNo
Authorized OfficialStiven MitaDentist/owner · (267) 977-4638
Enumeration DateSeptember 5, 2023
Last NPPES UpdateMay 21, 20252 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1043096159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2438 BROWN ST UNIT 1, Philadelphia, PA 19130
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Other Names 3

Doing Business AsMita Dental
Doing Business AsStiven Mita Dmd
Doing Business AsStiven Mita Dental

Secondary Practice Location 1

Location 176 N Main StMedford, NJ 08055-2720 · Phone (609) 953-7199 · Fax (609) 953-0314

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 Stiven Mita Dmd LLC's NPI number?

The NPI number for Stiven Mita Dmd LLC is 1043096159. It was assigned to this organization in the NPPES registry on September 5, 2023. The provider is doing business as Mita Dental, Stiven Mita DMD and Stiven Mita Dental.

Where is Stiven Mita Dmd LLC located?

Stiven Mita Dmd LLC is located at 2438 Brown St Unit 1, Philadelphia, PA 19130. The listed phone number is (215) 236-6200.

What is Stiven Mita Dmd LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Stiven Mita Dmd LLC was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.