Penn Dental Center PC

Primary specialty

DentistTaxonomy code 122300000X

License

DS037724 Issued in PA

Legal business name

PENN DENTAL CENTER PC

Practice address

2628 N Broad St
Philadelphia, PA 19132-4015

Phone

(215) 227-6700

Fax

(215) 279-9103

NPI assigned

Sep 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Vikas Arora, DDS

Title

Dentist

Phone

(215) 227-6700

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1073846929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191324015",
            "telephone_number": "215-227-6700",
            "fax_number": "215-279-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191324015",
            "telephone_number": "215-227-6700",
            "fax_number": "215-279-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN DENTAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "ARORA",
        "authorized_official_first_name": "VIKAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "215-227-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022687430001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Penn 1 Family Dental
• Penn Acupuncture Partners
• Penn Asian Healthcare Services LLC
• Penn Asian Senior Services, Inc.
• Penn Center for Rehabiliation and Care
• Penn Diagnostic Co.
• Penn Ergonomics, LLC
• Penn Executive Diagnostic Center, Inc.
• Penn Executive Diagnostic Center, Inc.
• Penn Hope Transport Inc

• Dentist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.