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I-DENTICAL
NPI 1891023263
Dentist in Philadelphia, PA

Active since November 24, 2009
200 WALNUT STREET, PHILADELPHIA, PA 19106(215) 923-2233(888) 608-7353 Get Directions Write a Review

NPPES record last updated: November 24, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About I-dentical NPPES

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

I-DENTICAL (NPI 1891023263) is a healthcare organization registered as a dentist in Philadelphia, Pennsylvania and active in the NPI registry since November 2009. The organization lists Ramon Ivan Lugo, President, as its authorized official.

NPPES Registry Identity

NPI1891023263
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameLIBERTY DENTAL, LLC
Location Address200 WALNUT STREETPhiladelphia, PA 19106-3904
Mailing Address200 Walnut St.Philadelphia, PA 19106-3904 · (215) 923-2233 · Fax (888) 608-7353
Phone(215) 923-2233
Fax(888) 608-7353
Organization SubpartNo
Authorized OfficialRamon Ivan LugoPresident · (215) 923-2233
Enumeration DateNovember 24, 2009
✔ NPI 1891023263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in PA · DS029647L
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
200 WALNUT STREET, Philadelphia, PA 19106
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Other Names 1

Doing Business AsI-dentical

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

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

MAGED KHEDR D.M.D.
Dentist (General Practice)
200 WALNUT STREET, I-DENTICAL
PHILADELPHIA, PA 19106
Philadelphia County (215) 923-3233

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 Liberty Dental, LLC's NPI number?

The NPI number for Liberty Dental, LLC is 1891023263. It was assigned to this organization in the NPPES registry on November 24, 2009. The provider is doing business as I-Dentical.

Where is Liberty Dental, LLC located?

Liberty Dental, LLC is located at 200 Walnut Street, Philadelphia, PA 19106. The listed phone number is (215) 923-2233.

What is Liberty Dental, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Liberty Dental, LLC was last updated on November 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.