PRESTIGE DENTAL LLC
NPI 1356779052
Clinic/Center - Dental in Philadelphia, PA
- 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
- Code Navigator
Location Map
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
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Other Providers at the Same Location
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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.