PEDIATRIC DENTAL ASSOCIATES, LTD
NPI 1639558950
Dentist - Pediatric Dentistry in Philadelphia, PA

Active since May 19, 2015
2301 E ALLEGHENY AVE, SUITE 201, PHILADELPHIA, PA 19134(215) 707-1030(215) 707-0083 Get Directions Write a Review

NPPES record last updated: May 19, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric Dental Associates, Ltd NPPES

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

PEDIATRIC DENTAL ASSOCIATES, LTD (NPI 1639558950) is a healthcare organization registered as a pediatric dentistry in Philadelphia, Pennsylvania and active in the NPI registry since May 2015. The organization lists Mark S Goldstein, President, as its authorized official.

NPPES Registry Identity

NPI1639558950
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTAL ASSOCIATES, LTD
Location Address2301 E ALLEGHENY AVE, SUITE 201Philadelphia, PA 19134-4427
Mailing Address2301 E Allegheny Ave, Suite 201Philadelphia, PA 19134-4427 · (215) 707-1030 · Fax (215) 707-0083
Fax(215) 707-0083
Organization SubpartNo
Authorized OfficialMark S GoldsteinPresident · (215) 707-1016
Enumeration DateMay 19, 2015
NPI 1639558950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in PA · DS036846
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2301 E ALLEGHENY AVE, Philadelphia, PA 19134

Other Identifiers 1

Medicaid0005299280006PA

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.

Internal Medicine (Gastroenterology)
2301 E ALLEGHENY AVE, SUITE 190B
PHILADELPHIA, PA 19134
Dentist (Pediatric Dentistry)
2301 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Nurse Anesthetist, Certified Registered
2301 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Clinic/Center (Occupational Medicine)
2301 E ALLEGHENY AVE, NORTHEASTERN HOSPITAL
PHILADELPHIA, PA 19134
Dentist
2301 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Pharmacy (Home Infusion Therapy Pharmacy)
2301 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Anesthesiology
2301 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Student in an Organized Health Care Education/Training Program
2301 E ALLEGHENY AVE
PHILADELPHIA, PA 19134

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 Associates, Ltd's NPI number?

The NPI number for Pediatric Dental Associates, Ltd is 1639558950. It was assigned to this organization in the NPPES registry on May 19, 2015.

Where is Pediatric Dental Associates, Ltd located?

Pediatric Dental Associates, Ltd is located at 2301 E Allegheny Ave Suite 201, Philadelphia, PA 19134. The listed phone number is (215) 707-1030.

What is Pediatric Dental Associates, Ltd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Pediatric Dental Associates, Ltd was last updated on May 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.