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UNIVERSITY SQUARE DENTAL ASSOCIATES
NPI 1205138088
Dentist - General Practice in Philadelphia, PA

Active since November 29, 2010
3901 MARKET ST, BOX 1936, PHILADELPHIA, PA 19104(215) 662-1030(215) 662-1015 Get Directions Write a Review

NPPES record last updated: November 29, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About University Square Dental Associates NPPES

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

UNIVERSITY SQUARE DENTAL ASSOCIATES (NPI 1205138088) is a healthcare organization registered as a general practice in Philadelphia, Pennsylvania and active in the NPI registry since November 2010. The organization lists Shari Tara Leavitt, Dentist/president, as its authorized official.

NPPES Registry Identity

NPI1205138088
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSHARI T. LEAVITT, DMD, PC
Location Address3901 MARKET ST, BOX 1936Philadelphia, PA 19104-3133
Mailing Address3901 Market St, Box 1936Philadelphia, PA 19104-3133 · (215) 662-1030 · Fax (215) 662-1015
Phone(215) 662-1030
Fax(215) 662-1015
Organization SubpartNo
Authorized OfficialShari Tara LeavittDentist/president · (215) 662-1030
Enumeration DateNovember 29, 2010
✔ NPI 1205138088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS-025799-L
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.
3901 MARKET ST, Philadelphia, PA 19104
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Other Names 1

Other NameUniversity Square Dental Associates

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 20

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

MISS JASMINE ELEXUS NOBLE BA
Case Manager/Care Coordinator
3901 MARKET ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 243-2800
KALIAH MEADOWS
Case Manager/Care Coordinator
3901 MARKET ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 243-2814
NANCY GABRIEL-MASSENA
Case Manager/Care Coordinator
3901 MARKET ST, BOX 1934
PHILADELPHIA, PA 19104
Philadelphia County (215) 387-6055
MISS CHELSEA CIERRA CONNER
Case Manager/Care Coordinator
3901 MARKET ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 243-2800
MARIE-SOPHIE FAHKEH GAGNE-TAWE MPH
Case Manager/Care Coordinator
3901 MARKET ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 243-2815
ROSEMARY THOMAS
Case Manager/Care Coordinator
3901 MARKET ST, BOX 1934
PHILADELPHIA, PA 19104
Philadelphia County (215) 243-2800
NICOLE HURD
Case Manager/Care Coordinator
3901 MARKET ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 243-2810
SARAH B DECHAMPLAIN
Social Worker
3901 MARKET ST, BOX 1934
PHILADELPHIA, PA 19104
Philadelphia County (215) 387-6055

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 Shari T. Leavitt, Dmd, PC's NPI number?

The NPI number for Shari T. Leavitt, Dmd, PC is 1205138088. It was assigned to this organization in the NPPES registry on November 29, 2010. The provider is also known as University Square Dental Associates.

Where is Shari T. Leavitt, Dmd, PC located?

Shari T. Leavitt, Dmd, PC is located at 3901 Market St Box 1936, Philadelphia, PA 19104. The listed phone number is (215) 662-1030.

What is Shari T. Leavitt, Dmd, PC'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 Shari T. Leavitt, Dmd, PC was last updated on November 29, 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.