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BUSTLETON DENTAL CARE
NPI 1942700463
Dentist in Philadelphia, PA

Active since February 21, 2018
11622 BUSTLETON AVE, PHILADELPHIA, PA 19116(267) 538-2627 Get Directions Write a Review

NPPES record last updated: February 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bustleton Dental Care NPPES

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

BUSTLETON DENTAL CARE (NPI 1942700463) is a healthcare organization registered as a dentist in Philadelphia, Pennsylvania and active in the NPI registry since February 2018. The organization lists Tatyana Mirtaj, Owner, as its authorized official.

NPPES Registry Identity

NPI1942700463
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameBUSTLETON DENTAL CARE
Location Address11622 BUSTLETON AVEPhiladelphia, PA 19116-2514
Mailing Address11622 Bustleton AvePhiladelphia, PA 19116-2514 · (267) 538-2627
Phone(267) 538-2627
Organization SubpartNo
Authorized OfficialTatyana MirtajOwner · (267) 538-2627
Enumeration DateFebruary 21, 2018
✔ NPI 1942700463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in PA · DS028963L
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.
11622 BUSTLETON AVE, Philadelphia, PA 19116
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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 2

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

BRIGHT SMILE DENTAL CARE PC
Clinic/Center (Dental)
11622 BUSTLETON AVE
PHILADELPHIA, PA 19116
Philadelphia County (215) 464-6061
DR. JOSEPH A MIRTAJ DMD
Dentist (General Practice)
11622 BUSTLETON AVE
PHILADELPHIA, PA 19116
Philadelphia County (215) 464-6061

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 Bustleton Dental Care's NPI number?

The NPI number for Bustleton Dental Care is 1942700463. It was assigned to this organization in the NPPES registry on February 21, 2018.

Where is Bustleton Dental Care located?

Bustleton Dental Care is located at 11622 Bustleton Ave, Philadelphia, PA 19116. The listed phone number is (267) 538-2627.

What is Bustleton Dental Care'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 Bustleton Dental Care was last updated on February 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.