Anthony M. Pedicino,DDS.,PC.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS023689-L Issued in PA

Legal business name

ANTHONY M. PEDICINO,DDS.,PC.

Practice address

1916 Welsh Rd
Suite 1B
Philadelphia, PA 19115-4655

Phone

(215) 464-6663

Fax

(215) 464-4949

NPI assigned

Mar 13, 2007

Last updated

Feb 26, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Anthony Michael Pedicino, DDS.NPI 1508202862

Title

Owner

Phone

(215) 464-6663

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony M Pedicino, DDS

  • Dentist
  • Philadelphia, PA
  • NPI 1508202862
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1073646600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 WELSH RD",
            "address_2": "SUITE 1B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154655",
            "telephone_number": "215-464-6663",
            "fax_number": "215-464-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 WELSH RD",
            "address_2": "SUITE 1B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154655",
            "telephone_number": "215-464-6663",
            "fax_number": "215-464-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY M. PEDICINO,DDS.,PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "PEDICINO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-464-6663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS023689-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarek Eid Antar, MD
• Miriana Samantha Antenucci
• Anthel-PC Healthcare Services LLC
• Anthony D Lobianco D.O. PC
• Anthony L Farrow
• Anthony T. Lam, DMD, PC
• Christopher Andrew Anthony, MD
• Lisha Anthony, CRNP
• Manju Anthony
• Maryjane Depiero Anthony, CRNP

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.