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PENNSYLVANIA CENTER FOR DENTAL IMPLANTS AND PERIODONTICS, LLC
NPI 1356700835
Dentist - Periodontics in Philadelphia, PA

Active since February 12, 2016
9880 BUSTLETON AVE, SUITE 211-212, PHILADELPHIA, PA 19115(215) 677-8686(215) 677-7212 Get Directions Write a Review

NPPES record last updated: February 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pennsylvania Center For Dental Implants And Periodontics, Llc NPPES

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

PENNSYLVANIA CENTER FOR DENTAL IMPLANTS AND PERIODONTICS, LLC (NPI 1356700835) is a healthcare organization registered as a periodontics in Philadelphia, Pennsylvania and active in the NPI registry since February 2016. The organization lists Tami Vishio, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1356700835
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePENNSYLVANIA CENTER FOR DENTAL IMPLANTS AND PERIODONTICS, LLC
Location Address9880 BUSTLETON AVE, SUITE 211-212Philadelphia, PA 19115-2185
Mailing Address9880 Bustleton Ave, Suite 211-212Philadelphia, PA 19115-2185 · (215) 677-8686 · Fax (215) 677-7212
Phone(215) 677-8686
Fax(215) 677-7212
Organization SubpartNo
Authorized OfficialTami VishioOffice Manager · (215) 677-8686
Enumeration DateFebruary 12, 2016
✔ NPI 1356700835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses✔ Licensed in PA · DS022257L✔ Licensed in PA · DS039673
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
9880 BUSTLETON AVE, Philadelphia, PA 19115
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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 17

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

JANNA PRATER M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
9880 BUSTLETON AVE, SUITE 220
PHILADELPHIA, PA 19115
Philadelphia County (215) 827-1500
LISA K. JABLON M.D.
Surgery (Surgical Critical Care)
9880 BUSTLETON AVE, SUITE 205
PHILADELPHIA, PA 19115
Philadelphia County (215) 676-2222
DR. IRENE J. TAN M.D.
Internal Medicine (Rheumatology)
9880 BUSTLETON AVE
PHILADELPHIA, PA 19115
Philadelphia County (215) 827-1500
CRAIG OLINER MD
Internal Medicine (Cardiovascular Disease)
9880 BUSTLETON AVE, STE 220
PHILADELPHIA, PA 19115
Philadelphia County (215) 827-1500
DR. ROBERT A LEVINE DDS, PC
Dentist (Periodontics)
9880 BUSTLETON AVE, SUITE 211-212
PHILADELPHIA, PA 19115
Philadelphia County (215) 677-8686
GHM UROLOGY
Urology
9880 BUSTLETON AVE, SUITE 311
PHILADELPHIA, PA 19115
Philadelphia County (215) 677-0667
MRS. KSENIA SMIRNOV CRNP
Nurse Practitioner (Adult Health)
9880 BUSTLETON AVE, SUITE 208
PHILADELPHIA, PA 19115
Philadelphia County (215) 677-0667
PENNSYLVANIA CENTER FOR DENTAL IMPLANTS AND PERIODONTICS
Dentist (Periodontics)
9880 BUSTLETON AVE, #211-212
PHILADELPHIA, PA 19115
Philadelphia County (215) 677-8686

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 Pennsylvania Center For Dental Implants And Periodontics, LLC's NPI number?

The NPI number for Pennsylvania Center For Dental Implants And Periodontics, LLC is 1356700835. It was assigned to this organization in the NPPES registry on February 12, 2016.

Where is Pennsylvania Center For Dental Implants And Periodontics, LLC located?

Pennsylvania Center For Dental Implants And Periodontics, LLC is located at 9880 Bustleton Ave Suite 211-212, Philadelphia, PA 19115. The listed phone number is (215) 677-8686.

What is Pennsylvania Center For Dental Implants And Periodontics, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Pennsylvania Center For Dental Implants And Periodontics, LLC was last updated on February 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.