LOCUST STREET PERIODONTICS IMPLANT DENTISTRY L.L.C.
NPI 1063536290
Dentist - Periodontics in Philadelphia, PA

Q: What is Locust Street Periodontics Implant Dentistry L.L.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Active since March 16, 2007

1500 LOCUST ST., SUITE 1408, PHILADELPHIA, PA 19102(215) 732-4450(215) 735-9886 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Locust Street Periodontics Implant Dentistry L.l.c. NPPES

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

LOCUST STREET PERIODONTICS IMPLANT DENTISTRY L.L.C. (NPI 1063536290) is a healthcare organization registered as a periodontics in Philadelphia, Pennsylvania and active in the NPI registry since March 2007. The organization lists Joseph Gian-grasso, Owner, as its authorized official.

NPPES Registry Identity

NPI1063536290

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NameLOCUST STREET PERIODONTICS IMPLANT DENTISTRY L.L.C.

Location Address1500 LOCUST ST., SUITE 1408Philadelphia, PA 19102-4314

Mailing Address1500 Locust St., Suite 1408Philadelphia, PA 19102-4314 · (215) 732-4450 · Fax (215) 735-9886

Phone(215) 732-4450

Fax(215) 735-9886

Organization SubpartNo

Authorized OfficialJoseph Gian-grassoOwner · (215) 732-4450

Enumeration DateMarch 16, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1063536290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in PA · DS018466L

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

1500 LOCUST ST., Philadelphia, PA 19102

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Locust Street Periodontics Implant Dentistry L.L.C.'s NPI number?

The NPI number for Locust Street Periodontics Implant Dentistry L.L.C. is 1063536290. It was assigned to this organization in the NPPES registry on March 16, 2007.

Where is Locust Street Periodontics Implant Dentistry L.L.C. located?

Locust Street Periodontics Implant Dentistry L.L.C. is located at 1500 Locust St. Suite 1408, Philadelphia, PA 19102. The listed phone number is (215) 732-4450.

What is Locust Street Periodontics Implant Dentistry L.L.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Locust Street Periodontics Implant Dentistry L.L.C. accept?

Health plans from UnitedHealthcare list Locust Street Periodontics Implant Dentistry L.L.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Locust Street Periodontics Implant Dentistry L.L.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.