CITY DENTAL LLC
NPI 1972072908
Clinic/Center - Dental in Philadelphia, PA

Q: What is City Dental LLC's NPI number?

The NPI number for City Dental LLC is 1972072908. It was assigned to this organization in the NPPES registry on November 20, 2018.

Q: What is City Dental LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for City Dental LLC was last updated on November 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since November 20, 2018

1100 WASHINGTON AVE 2ND FLOOR, PHILADELPHIA, PA 19147(215) 462-4877(215) 462-4871 Get Directions Write a Review

NPPES record last updated: November 20, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About City Dental Llc NPPES

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

CITY DENTAL LLC (NPI 1972072908) is a healthcare organization registered as a dental in Philadelphia, Pennsylvania and active in the NPI registry since November 2018. The organization lists Jae Chae, Owner, as its authorized official.

NPPES Registry Identity

NPI1972072908

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameCITY DENTAL LLC

Location Address1100 WASHINGTON AVE 2ND FLOORPhiladelphia, PA 19147

Mailing Address1100 Washington Ave 2nd FloorPhiladelphia, PA 19147 · (215) 704-0056 · Fax (215) 462-4871

Phone(215) 462-4877

Fax(215) 462-4871

Organization SubpartNo

Authorized OfficialJae ChaeOwner · (215) 462-4877

Enumeration DateNovember 20, 2018

✔ NPI 1972072908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

1100 WASHINGTON AVE 2ND FLOOR, Philadelphia, PA 19147

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Other Identifiers 1

Medicaid102705580PA

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 City Dental LLC's NPI number?

The NPI number for City Dental LLC is 1972072908. It was assigned to this organization in the NPPES registry on November 20, 2018.

Where is City Dental LLC located?

City Dental LLC is located at 1100 Washington Ave 2nd Floor, Philadelphia, PA 19147. The listed phone number is (215) 462-4877.

What is City Dental 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 City Dental LLC was last updated on November 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.