CD PENNSYLVANIA DENTAL, P.C.
NPI 1174015671
Dentist in Philadelphia, PA

Active since May 31, 2018
6012 GREENE ST, PHILADELPHIA, PA 19144(215) 843-9400(215) 843-3237 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cd Pennsylvania Dental, P.c. NPPES

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

CD PENNSYLVANIA DENTAL, P.C. (NPI 1174015671), doing business as Drs. Melman, Ravett & Associates, is a healthcare organization registered as a dentist in Philadelphia, Pennsylvania and active in the NPI registry since May 2018. The organization lists Ty Justice, Director, Credentialing & Payer Rel, as its authorized official.

NPPES Registry Identity

NPI1174015671
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCD PENNSYLVANIA DENTAL, P.C.
Location Address6012 GREENE STPhiladelphia, PA 19144-2726
Mailing Address9825 Kenwood Rd Ste 200Blue Ash, OH 45242-6252 · (513) 609-4076 · Fax (513) 448-0511
Fax(215) 843-3237
Organization SubpartNo
Authorized OfficialTy JusticeDirector, Credentialing & Payer Rel · (512) 808-4984
Enumeration DateMay 31, 2018
Last NPPES UpdateJune 30, 2025
NPPES CertifiedJune 30, 2025
NPI 1174015671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X
6012 GREENE ST, Philadelphia, PA 19144

Other Names 2

Doing Business AsDrs. Melman, Ravett & Associates
Doing Business AsGreene Street Dental

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

Other Providers at the Same Location NPPES 4

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

Dentist
6012 GREENE ST
PHILADELPHIA, PA 19144
Dentist (General Practice)
6012 GREENE ST
PHILADELPHIA, PA 19144
Dentist
6012 GREENE ST
PHILADELPHIA, PA 19144
Dentist
6012 GREENE ST
PHILADELPHIA, PA 19144

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 Cd Pennsylvania Dental, P.C.'s NPI number?

The NPI number for Cd Pennsylvania Dental, P.C. is 1174015671. It was assigned to this organization in the NPPES registry on May 31, 2018. The provider is doing business as Drs. Melman, Ravett & Associates and Greene Street Dental.

Where is Cd Pennsylvania Dental, P.C. located?

Cd Pennsylvania Dental, P.C. is located at 6012 Greene St, Philadelphia, PA 19144. The listed phone number is (215) 843-9400.

What is Cd Pennsylvania Dental, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Cd Pennsylvania Dental, P.C. was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.