ELITE DENTAL LLC
NPI 1124543368
Dentist - General Practice in Philadelphia, PA

Q: What is Elite Dental LLC's NPI number?

The NPI number for Elite Dental LLC is 1124543368. It was assigned to this organization in the NPPES registry on August 9, 2017.

Q: What is Elite Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Elite Dental LLC was last updated on March 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 09, 2017

400 W ALLEGHENY AVE STE B-1, PHILADELPHIA, PA 19133(215) 291-9200 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2020, Aug 9, 2017 (2 updates tracked since 2017).

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About Elite Dental Llc NPPES

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

ELITE DENTAL LLC (NPI 1124543368) is a healthcare organization registered as a general practice in Philadelphia, Pennsylvania and active in the NPI registry since August 2017. The organization lists Phil Kural, Director Doctor Credentialing, as its authorized official.

NPPES Registry Identity

NPI1124543368

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameELITE DENTAL LLC

Location Address400 W ALLEGHENY AVE STE B-1Philadelphia, PA 19133-3639

Mailing Address350 N Clark St Ste 600Chicago, IL 60654-4782

Phone(215) 291-9200

Organization SubpartNo

Authorized OfficialPhil KuralDirector Doctor Credentialing · (312) 274-4526

Enumeration DateAugust 9, 2017

Last NPPES UpdateMarch 12, 20202 updates tracked since enumeration

NPPES CertifiedMarch 12, 2020

✔ NPI 1124543368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

400 W ALLEGHENY AVE STE B-1, Philadelphia, PA 19133

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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

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 Elite Dental LLC's NPI number?

The NPI number for Elite Dental LLC is 1124543368. It was assigned to this organization in the NPPES registry on August 9, 2017.

Where is Elite Dental LLC located?

Elite Dental LLC is located at 400 W Allegheny Ave Ste B-1, Philadelphia, PA 19133. The listed phone number is (215) 291-9200.

What is Elite Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Elite Dental LLC was last updated on March 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.