1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Clinic Center
  6. NPI Profile

360 DENTAL, PC
NPI 1063893535
Clinic/Center - Dental in Philadelphia, PA

Active since June 10, 2015
1350 E LYCOMING ST, PHILADELPHIA, PA 19124(267) 242-1709 Get Directions Write a Review

NPPES record last updated: June 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 360 Dental, Pc NPPES

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

360 DENTAL, PC (NPI 1063893535) is a healthcare organization registered as a dental in Philadelphia, Pennsylvania and active in the NPI registry since June 2015. The organization lists Mikhail Sitkovetsky, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1063893535
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business Name360 DENTAL, PC
Location Address1350 E LYCOMING STPhiladelphia, PA 19124-5354
Mailing Address1350 E Lycoming StPhiladelphia, PA 19124-5354 · (267) 242-1709
Phone(267) 242-1709
Organization SubpartNo
Authorized OfficialMikhail SitkovetskyOwner/doctor · (215) 962-2242
Enumeration DateJune 10, 2015
✔ NPI 1063893535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in PA · DS038816
1350 E LYCOMING ST, Philadelphia, PA 19124
Open in Google Maps ↗

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 360 Dental, PC's NPI number?

The NPI number for 360 Dental, PC is 1063893535. It was assigned to this organization in the NPPES registry on June 10, 2015.

Where is 360 Dental, PC located?

360 Dental, PC is located at 1350 E Lycoming St, Philadelphia, PA 19124. The listed phone number is (267) 242-1709.

What is 360 Dental, PC'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 360 Dental, PC was last updated on June 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.