PEDIATRIC DENTAL ASSOC LTD
NPI 1457416356
Dentist in Philadelphia, PA

Active since December 22, 2006
100 E LEHIGH AVE, PHILADELPHIA, PA 19125(215) 707-1030(215) 707-0083 Get Directions Write a Review

NPPES record last updated: May 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Dental Assoc Ltd NPPES

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

PEDIATRIC DENTAL ASSOC LTD (NPI 1457416356) is a healthcare organization registered as a dentist in Philadelphia, Pennsylvania and active in the NPI registry since December 2006. The organization lists Michael S Rosenbaum, Partner, as its authorized official.

NPPES Registry Identity

NPI1457416356
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePEDIATRIC DENTAL ASSOC LTD
Location Address100 E LEHIGH AVEPhiladelphia, PA 19125
Mailing Address6404 Roosevelt BlvdPhila, PA 19149 · (215) 743-3700 · Fax (215) 743-3706
Fax(215) 707-0083
Organization SubpartYesParent: Pediatric Dental Associates
Authorized OfficialMichael S RosenbaumPartner · (215) 743-3700
Enumeration DateDecember 22, 2006
Last NPPES UpdateMay 30, 2008
NPI 1457416356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in PA · DS025205L
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
100 E LEHIGH AVE, Philadelphia, PA 19125

Other Identifiers 1

Medicaid0005299280001PA

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

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Psychiatry)
100 E LEHIGH AVE
PHILADELPHIA, PA 19125
Psychiatry & Neurology (Psychiatry)
100 E LEHIGH AVE
PHILADELPHIA, PA 19125
Psychiatry & Neurology (Psychiatry)
100 E LEHIGH AVE, MAB BLDG STE 105
PHILADELPHIA, PA 19125
Dentist (Oral and Maxillofacial Surgery)
100 E LEHIGH AVE
PHILADELPHIA, PA 19125
Family Medicine
100 E LEHIGH AVE
PHILADELPHIA, PA 19125
Internal Medicine
100 E LEHIGH AVE, CHC - 1
PHILADELPHIA, PA 19125
Internal Medicine (Cardiovascular Disease)
100 E LEHIGH AVE, MAB 110
PHILADELPHIA, PA 19125
Psychiatry & Neurology (Psychiatry)
100 E LEHIGH AVE
PHILADELPHIA, PA 19125

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 Pediatric Dental Assoc Ltd's NPI number?

The NPI number for Pediatric Dental Assoc Ltd is 1457416356. It was assigned to this organization in the NPPES registry on December 22, 2006.

Where is Pediatric Dental Assoc Ltd located?

Pediatric Dental Assoc Ltd is located at 100 E Lehigh Ave, Philadelphia, PA 19125. The listed phone number is (215) 707-1030.

What is Pediatric Dental Assoc Ltd's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Pediatric Dental Assoc Ltd was last updated on May 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.