LAUREL DENTAL PC
NPI 1790430957
Clinic/Center - Dental in Philadelphia, PA

Active since February 16, 2022
1701 JFK BLVD FL 25, PHILADELPHIA, PA 19103(949) 305-2253 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laurel Dental Pc NPPES

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

LAUREL DENTAL PC (NPI 1790430957) is a healthcare organization registered as a dental in Philadelphia, Pennsylvania and active in the NPI registry since February 2022. The organization lists Leighton Miller, President, as its authorized official.

NPPES Registry Identity

NPI1790430957
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLAUREL DENTAL PC
Location Address1701 JFK BLVD FL 25Philadelphia, PA 19103-2851
Mailing Address85 Argonaut Ste 220Aliso Viejo, CA 92656-4105 · (949) 305-2253
Organization SubpartNo
Authorized OfficialLeighton MillerPresident · (949) 305-2253
Enumeration DateFebruary 16, 2022
NPPES CertifiedFebruary 16, 2022
NPI 1790430957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1701 JFK BLVD FL 25, Philadelphia, PA 19103

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.

Registered Nurse
1701 JFK BLVD FL 25
PHILA, PA 19103
Nurse Practitioner (Family)
1701 JFK BLVD FL 25
PHILADELPHIA, PA 19103

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 Laurel Dental PC's NPI number?

The NPI number for Laurel Dental PC is 1790430957. It was assigned to this organization in the NPPES registry on February 16, 2022.

Where is Laurel Dental PC located?

Laurel Dental PC is located at 1701 Jfk Blvd Fl 25, Philadelphia, PA 19103. The listed phone number is (949) 305-2253.

What is Laurel Dental PC'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 Laurel Dental PC was last updated on February 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.