PRESTIGE DENTAL LLC
NPI 1356779052
Clinic/Center - Dental in Philadelphia, PA

Active since October 16, 2013
246 W GIRARD AVE, PHILADELPHIA, PA 19123(267) 202-0083 Get Directions Write a Review

NPPES record last updated: October 16, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Dental

About PRESTIGE DENTAL LLC

This page provides the complete NPI Profile along with additional information for Prestige Dental Llc, a provider established in Philadelphia, Pennsylvania operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1356779052 assigned on October 2013. The practitioner's primary taxonomy code is 261QD0000X with license number DS030683L (PA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Kathleen Wu Dmd (Owner)

NPI
1356779052 Verify this NPI
Provider Name
PRESTIGE DENTAL LLC
Entity Type
Organization
Location Address
246 W GIRARD AVE PHILADELPHIA, PA 19123
Location Phone
(267) 202-0083
Mailing Address
246 W GIRARD AVE PHILADELPHIA, PA 19123
Mailing Phone
(267) 202-0083
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-16-2013
Last Update Date
10-16-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
DS030683L
License State
PA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KATHLEEN WU DMD

Authorized Official Title
OWNER
Authorized Official Phone
(267) 202-0083

Reviews for PRESTIGE DENTAL LLC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist
246 W GIRARD AVE
PHILADELPHIA, PA 19123

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356779052, enumerated as an "organization" on October 16, 2013.

The provider is located at 246 W GIRARD AVE PHILADELPHIA, PA 19123 and the phone number is (267) 202-0083.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.