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FISHTOWN DENTISTRY
NPI 1649865163
Clinic/Center - Dental in Philadelphia, PA

Active since March 05, 2021
244 E GIRARD AVE, PHILADELPHIA, PA 19125(215) 739-2543 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fishtown Dentistry NPPES

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

FISHTOWN DENTISTRY (NPI 1649865163) is a healthcare organization registered as a dental in Philadelphia, Pennsylvania and active in the NPI registry since March 2021. The organization lists Raha Mozaffari, Dentist, as its authorized official.

NPPES Registry Identity

NPI1649865163
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameRAHA MOZAFFARI DMD LLC
Location Address244 E GIRARD AVEPhiladelphia, PA 19125-3929
Mailing Address435 E Flora StPhiladelphia, PA 19125-3315 · (215) 740-3912
Phone(215) 739-2543
Organization SubpartNo
Authorized OfficialRaha MozaffariDentist · (215) 739-2543
Enumeration DateMarch 5, 2021
NPPES CertifiedMarch 5, 2021
✔ NPI 1649865163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
244 E GIRARD AVE, Philadelphia, PA 19125
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Other Names 1

Doing Business AsFishtown Dentistry

Other Providers at the Same Location NPPES 2

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

RAHA MOZAFFARI D.M.D.
Dentist (General Practice)
244 E GIRARD AVE
PHILADELPHIA, PA 19125
Philadelphia County (215) 739-2543
DR. DAVID SLOBODINSKY DDS
Dentist (General Practice)
244 E GIRARD AVE
PHILADELPHIA, PA 19125
Philadelphia County (215) 739-2543

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 Raha Mozaffari Dmd LLC's NPI number?

The NPI number for Raha Mozaffari Dmd LLC is 1649865163. It was assigned to this organization in the NPPES registry on March 5, 2021. The provider is doing business as Fishtown Dentistry.

Where is Raha Mozaffari Dmd LLC located?

Raha Mozaffari Dmd LLC is located at 244 E Girard Ave, Philadelphia, PA 19125. The listed phone number is (215) 739-2543.

What is Raha Mozaffari Dmd LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Raha Mozaffari Dmd LLC was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.