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PREMIER DENTISTRY OF PHILADELPHIA LLC
NPI 1679918817
Dentist - General Practice in Philadelphia, PA

Active since May 01, 2013
1601 WALNUT ST, SUITE 1025, PHILADELPHIA, PA 19102(215) 564-1025(215) 564-1027 Get Directions Write a Review

NPPES record last updated: May 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Dentistry Of Philadelphia Llc NPPES

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

PREMIER DENTISTRY OF PHILADELPHIA LLC (NPI 1679918817) is a healthcare organization registered as a general practice in Philadelphia, Pennsylvania and active in the NPI registry since May 2013. The organization lists Shahram Shamloo, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1679918817
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePREMIER DENTISTRY OF PHILADELPHIA LLC
Location Address1601 WALNUT ST, SUITE 1025Philadelphia, PA 19102-2944
Mailing Address1601 Walnut St, Suite 1025Philadelphia, PA 19102-2944 · (215) 564-1025 · Fax (215) 564-1027
Phone(215) 564-1025
Fax(215) 564-1027
Organization SubpartNo
Authorized OfficialShahram ShamlooOwner/dentist · (215) 564-1025
Enumeration DateMay 1, 2013
✔ NPI 1679918817 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.
1601 WALNUT ST, Philadelphia, PA 19102
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

MERYL CLAUDIA TUCKER LCSW
Social Worker (Clinical)
1601 WALNUT ST
PHILADELPHIA, PA 19102
Philadelphia County (908) 463-3886
MR. CHARLES H. BITTNER M.A., M.DIV., C.G.P.
Psychologist (Clinical)
1601 WALNUT ST, SUITE 1128
PHILADELPHIA, PA 19102
Philadelphia County (610) 246-9749
TERESA HARRINGTON LCSW
Social Worker (Clinical)
1601 WALNUT ST, SUITE 608
PHILADELPHIA, PA 19102
Philadelphia County (215) 510-5554
2020DENTISTRY
Dentist
1601 WALNUT ST, SUITE 801
PHILA, PA 19102
Philadelphia County (215) 567-4949
DR. MARK B SNYDER D.M.D.
Dentist (Periodontics)
1601 WALNUT ST, SUITE 604
PHILADELPHIA, PA 19102
Philadelphia County (215) 564-4200
PEARL DENTAL LLC
Dentist
1601 WALNUT ST, SUITE 1111
PHILADELPHIA, PA 19102
Philadelphia County (215) 564-3830
JESSICA PAVELKA MS, LPC, NCC, RYT
Counselor (Professional)
1601 WALNUT ST, SUITE 1005
PHILADELPHIA, PA 19102
Philadelphia County (267) 551-1270
DR. LEONARD MEYER JENSEN DMD
Dentist (General Practice)
1601 WALNUT ST, SUITE 704 MED ARTS BLDG
PHILADELPHIA, PA 19102
Philadelphia County (215) 496-0481

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 Premier Dentistry Of Philadelphia LLC's NPI number?

The NPI number for Premier Dentistry Of Philadelphia LLC is 1679918817. It was assigned to this organization in the NPPES registry on May 1, 2013.

Where is Premier Dentistry Of Philadelphia LLC located?

Premier Dentistry Of Philadelphia LLC is located at 1601 Walnut St Suite 1025, Philadelphia, PA 19102. The listed phone number is (215) 564-1025.

What is Premier Dentistry Of Philadelphia LLC'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 Premier Dentistry Of Philadelphia LLC was last updated on May 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.