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ELITE DENTAL, LLC
NPI 1255619920
Dentist - General Practice in Philadelphia, PA

Active since July 29, 2011
1575 N 52ND ST, SUITE 705, PHILADELPHIA, PA 19131(215) 879-1777(215) 879-8077 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elite Dental, Llc NPPES

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

ELITE DENTAL, LLC (NPI 1255619920) is a healthcare organization registered as a general practice in Philadelphia, Pennsylvania and active in the NPI registry since July 2011. The organization lists Phil Kural, Director Doctor Credentialing, as its authorized official.

NPPES Registry Identity

NPI1255619920
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameELITE DENTAL, LLC
Location Address1575 N 52ND ST, SUITE 705Philadelphia, PA 19131-4736
Mailing Address1575 N 52nd St, Suite 705Philadelphia, PA 19131-4736 · (215) 879-1777 · Fax (215) 879-8077
Phone(215) 879-1777
Fax(215) 879-8077
Organization SubpartNo
Authorized OfficialPhil KuralDirector Doctor Credentialing · (312) 274-4526
Enumeration DateJuly 29, 2011
Last NPPES UpdateMarch 12, 2020
NPPES CertifiedMarch 12, 2020
✔ NPI 1255619920 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.
1575 N 52ND ST, Philadelphia, PA 19131
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 12

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

TARIQ HAFIZ MD
Internal Medicine (Cardiovascular Disease)
1575 N 52ND ST
PHILADELPHIA, PA 19131
Philadelphia County (267) 930-4858
DONG KYU LEE DPT
Physical Therapist
1575 N 52ND ST
PHILADELPHIA, PA 19131
Philadelphia County (484) 429-2290
DR. JOSEPH PREZIOSI JR. DMD
Dentist (General Practice)
1575 N 52ND ST
PHILADELPHIA, PA 19131
Philadelphia County (215) 879-1777
DR. JORDAN SHEA BOWER DMD
Dentist (General Practice)
1575 N 52ND ST
PHILADELPHIA, PA 19131
Philadelphia County (717) 433-6714
DANISE HIGHTOWER
Health Educator
1575 N 52ND ST
PHILADELPHIA, PA 19131
Philadelphia County (267) 290-0070
DANIEL-DUO JIANG DPT
Physical Therapist
1575 N 52ND ST
PHILADELPHIA, PA 19131
Philadelphia County (484) 429-2290
THOMAS OBI-TABOT PT, DPT
Physical Therapist
1575 N 52ND ST
PHILADELPHIA, PA 19131
Philadelphia County (484) 429-2290
DRUVIBEN PATEL PT, DPT
Physical Therapist
1575 N 52ND ST
PHILADELPHIA, PA 19131
Philadelphia County (908) 821-8677

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 1255619920. It was assigned to this organization in the NPPES registry on July 29, 2011.

Where is Elite Dental, LLC located?

Elite Dental, LLC is located at 1575 N 52nd St Suite 705, Philadelphia, PA 19131. The listed phone number is (215) 879-1777.

What is Elite Dental, LLC's specialty?

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

What insurance does Elite Dental, LLC accept?

Health plans from UnitedHealthcare list Elite Dental, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.