DR. MIRIAM BOLS DMD, MPH
NPI 1053153916
Dentist - General Practice in Philadelphia, PA

Active since June 11, 2024
861 E ALLEGHENY AVE, PHILADELPHIA, PA 19134(215) 302-3600(215) 329-2369 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Miriam Bols Dmd, Mph NPPES

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

DR. MIRIAM BOLS DMD, MPH (NPI 1053153916) is an individual general practice provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS044478) and active in the NPI registry since June 2024. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053153916
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MIRIAM BOLSCredential: DMD, MPH
Location Address861 E ALLEGHENY AVEPhiladelphia, PA 19134-2401
Mailing Address4417 N 6th StPhiladelphia, PA 19140-2319 · (215) 302-3600 · Fax (215) 329-2369
Fax(215) 329-2369
Sole ProprietorNo
Enumeration DateJune 11, 2024
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
NPI 1053153916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in PA · DS044478
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.

861 E ALLEGHENY AVE, Philadelphia, PA 19134

Secondary Practice Locations 2

Location 12771 Geryville PikePennsburg, PA 18073-2300 · Phone (215) 679-4495
Location 24417 N 6th StPhiladelphia, PA 19140-2319 · Phone (215) 302-3600 · Fax (215) 329-2369

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinic/Center (Federally Qualified Health Center (FQHC))
861 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Pediatrics
861 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Family Medicine
861 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Physician Assistant
861 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Family Medicine
861 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Nurse Practitioner (Family)
861 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Nurse Practitioner (Family)
861 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Preventive Medicine (Public Health & General Preventive Medicine)
861 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Dietitian, Registered
861 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Pediatrics
861 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Social Worker (Clinical)
861 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Dental Hygienist
861 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Counselor (Professional)
861 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Internal Medicine
861 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Doula
861 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Internal Medicine
861 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Dentist (General Practice)
861 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Counselor (Mental Health)
861 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Nurse Practitioner (Family)
861 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Nurse Practitioner (Family)
861 E ALLEGHENY AVE
PHILADELPHIA, PA 19134

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053153916, enumerated as an "individual" on June 11, 2024.

The provider is located at 861 E ALLEGHENY AVE PHILADELPHIA, PA 19134 and the phone number is (215) 302-3600.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.