MAIN STREET DENTAL CENTER CITY PC
NPI 1639370661
Dentist - General Practice in Philadelphia, PA

Q: What is Main Street Dental Center City PC's NPI number?

The NPI number for Main Street Dental Center City PC is 1639370661. It was assigned to this organization in the NPPES registry on May 29, 2007.

Q: What is Main Street Dental Center City PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since May 29, 2007

1048 SOUTH ST, PHILADELPHIA, PA 19147(215) 627-1995(215) 627-1999 Get Directions Write a Review

NPPES record last updated: April 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Main Street Dental Center City Pc NPPES

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

MAIN STREET DENTAL CENTER CITY PC (NPI 1639370661) is a healthcare organization registered as a general practice in Philadelphia, Pennsylvania and active in the NPI registry since May 2007. The organization lists Richard Victor Eidelson, President Dentist, as its authorized official.

NPPES Registry Identity

NPI1639370661

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMAIN STREET DENTAL CENTER CITY PC

Location Address1048 SOUTH STPhiladelphia, PA 19147-1935

Mailing Address1048 South StPhiladelphia, PA 19147-1935 · (215) 627-1995 · Fax (215) 627-1999

Phone(215) 627-1995

Fax(215) 627-1999

Organization SubpartNo

Authorized OfficialRichard Victor EidelsonPresident Dentist · (215) 627-1995

Enumeration DateMay 29, 2007

Last NPPES UpdateApril 22, 2011

✔ NPI 1639370661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in PA · DS019673L

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.

1048 SOUTH ST, Philadelphia, PA 19147

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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

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

DR. RICHARD VICTOR EIDELSON DDS, FAGD

Dentist (General Practice)

1048 SOUTH ST
PHILADELPHIA, PA 19147

Philadelphia County (215) 627-1995

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 Main Street Dental Center City PC's NPI number?

The NPI number for Main Street Dental Center City PC is 1639370661. It was assigned to this organization in the NPPES registry on May 29, 2007.

Where is Main Street Dental Center City PC located?

Main Street Dental Center City PC is located at 1048 South St, Philadelphia, PA 19147. The listed phone number is (215) 627-1995.

What is Main Street Dental Center City 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 Main Street Dental Center City PC was last updated on April 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.