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COBBLESTONE KIDS PEDIATRIC DENTISTRY
NPI 1093015406
Dentist - Pediatric Dentistry in Philadelphia, PA

Active since November 01, 2010
1352 SOUTH ST, C5, PHILADELPHIA, PA 19147(215) 913-3615 Get Directions Write a Review

NPPES record last updated: November 1, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cobblestone Kids Pediatric Dentistry NPPES

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

COBBLESTONE KIDS PEDIATRIC DENTISTRY (NPI 1093015406) is a healthcare organization registered as a pediatric dentistry in Philadelphia, Pennsylvania and active in the NPI registry since November 2010. The organization lists George Thomas Lynch, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1093015406
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCOBBLESTONE KIDS PEDIATRIC DENTISTRY
Location Address1352 SOUTH ST, C5Philadelphia, PA 19147-1858
Mailing Address1101 Washington Ave, Villa 1Philadelphia, PA 19147-3839 · (215) 913-3615
Phone(215) 913-3615
Organization SubpartNo
Authorized OfficialGeorge Thomas LynchPediatric Dentist · (215) 913-3615
Enumeration DateNovember 1, 2010
✔ NPI 1093015406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in PA · DS036787
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1352 SOUTH ST, Philadelphia, PA 19147
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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 2

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

DR. KATHARINE LAURA WOEHLING D.M.D.
Dentist (Pediatric Dentistry)
1352 SOUTH ST, #C5
PHILADELPHIA, PA 19147
Philadelphia County (267) 909-9551
DR. GEORGE THOMAS LYNCH IV DMD
Dentist (Pediatric Dentistry)
1352 SOUTH ST, C5
PHILADELPHIA, PA 19147
Philadelphia County (267) 909-9551

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 Cobblestone Kids Pediatric Dentistry's NPI number?

The NPI number for Cobblestone Kids Pediatric Dentistry is 1093015406. It was assigned to this organization in the NPPES registry on November 1, 2010.

Where is Cobblestone Kids Pediatric Dentistry located?

Cobblestone Kids Pediatric Dentistry is located at 1352 South St C5, Philadelphia, PA 19147. The listed phone number is (215) 913-3615.

What is Cobblestone Kids Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Cobblestone Kids Pediatric Dentistry was last updated on November 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.