PARADISE DENTAL
NPI 1417465402
Dentist - General Practice in Philadelphia, PA

Active since January 12, 2018
2338 N FRONT ST, PHILADELPHIA, PA 19133(267) 886-9474 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 16, 2018, Mar 17, 2018, Jan 12, 2018 (3 updates tracked since 2018).

About Paradise Dental NPPES

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

PARADISE DENTAL (NPI 1417465402) is a healthcare organization registered as a general practice in Philadelphia, Pennsylvania and active in the NPI registry since January 2018. The organization maintains a secondary practice location in Philadelphia and lists Oleg Genis, Owner, as its authorized official.

NPPES Registry Identity

NPI1417465402
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTAL WIZARD G PC
Location Address2338 N FRONT STPhiladelphia, PA 19133-3716
Mailing Address2338 N Front StPhiladelphia, PA 19133-3716
Organization SubpartNo
Authorized OfficialOleg GenisOwner · (267) 886-9474
Enumeration DateJanuary 12, 2018
Last NPPES UpdateJune 16, 20183 updates tracked since enumeration
NPI 1417465402 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.
2338 N FRONT ST, Philadelphia, PA 19133

Other Names 2

Doing Business AsParadise Dental
Doing Business AsDiamante Dental

Secondary Practice Location 1

Location 1100 E Allegheny AvePhiladelphia, PA 19134-2207 · Phone (215) 995-2725

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Dentist
2338 N FRONT ST
PHILADELPHIA, PA 19133
Dentist (General Practice)
2338 N FRONT ST
PHILADELPHIA, PA 19133
Dentist (Dental Public Health)
2338 N FRONT ST
PHILADELPHIA, PA 19133
Dentist (Dental Public Health)
2338 N FRONT ST
PHILADELPHIA, PA 19133

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 Dental Wizard G PC's NPI number?

The NPI number for Dental Wizard G PC is 1417465402. It was assigned to this organization in the NPPES registry on January 12, 2018. The provider is doing business as Paradise Dental and Diamante Dental.

Where is Dental Wizard G PC located?

Dental Wizard G PC is located at 2338 N Front St, Philadelphia, PA 19133. The listed phone number is (267) 886-9474.

What is Dental Wizard G 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 Dental Wizard G PC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.