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NORTHEAST DENTAL CENTER, P.C.
NPI 1992967475
Dentist - General Practice in Philadelphia, PA

Active since June 26, 2008
10847 BUSTLETON AVE, PHILADELPHIA, PA 19116(215) 552-9800 Get Directions Write a Review

NPPES record last updated: October 17, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northeast Dental Center, P.c. NPPES

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

NORTHEAST DENTAL CENTER, P.C. (NPI 1992967475) is a healthcare organization registered as a general practice in Philadelphia, Pennsylvania and active in the NPI registry since June 2008. The organization lists Oleg Amayev, Owner, as its authorized official.

NPPES Registry Identity

NPI1992967475
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNORTHEAST DENTAL CENTER, P.C.
Location Address10847 BUSTLETON AVEPhiladelphia, PA 19116-3301
Mailing Address10847 Bustleton AvePhiladelphia, PA 19116-3301 · (215) 552-9800 · Fax (215) 552-9876
Phone(215) 552-9800
Organization SubpartNo
Authorized OfficialOleg AmayevOwner · (215) 552-9800
Enumeration DateJune 26, 2008
Last NPPES UpdateOctober 17, 2011
✔ NPI 1992967475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS036113
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.
10847 BUSTLETON AVE, Philadelphia, PA 19116
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Other Identifiers 1

Medicaid1010462950001PA

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

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

OLEG AMAYEV DDS
Dentist (General Practice)
10847 BUSTLETON AVE
PHILADELPHIA, PA 19116
Philadelphia County (215) 552-9800

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 Northeast Dental Center, P.C.'s NPI number?

The NPI number for Northeast Dental Center, P.C. is 1992967475. It was assigned to this organization in the NPPES registry on June 26, 2008.

Where is Northeast Dental Center, P.C. located?

Northeast Dental Center, P.C. is located at 10847 Bustleton Ave, Philadelphia, PA 19116. The listed phone number is (215) 552-9800.

What is Northeast Dental Center, P.C.'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 Northeast Dental Center, P.C. was last updated on October 17, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.