Dental Implant Specialists of Pennsylvania II, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTAL IMPLANT SPECIALISTS OF PENNSYLVANIA II, PC

Doing business as

Dentistry for Life

Practice address

1601 Walnut St Ste 1217
Philadelphia, PA 19102-2908

Phone

(215) 575-0550

NPI assigned

Nov 18, 2024

Last updated

Nov 18, 2024By 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

Riad Almasri

Title

Provider Partner

Phone

(469) 688-5555

Specialties & licenses 1

Addresses

Other names 1

• Dentistry for Life Doing business as

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1134944960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 MAPLE AVE STE 1600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752193936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WALNUT ST STE 1217",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022908",
            "telephone_number": "215-575-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL IMPLANT SPECIALISTS OF PENNSYLVANIA II, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "ALMASRI",
        "authorized_official_first_name": "RIAD",
        "authorized_official_title_or_position": "PROVIDER PARTNER",
        "authorized_official_telephone_number": "469-688-5555"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry for Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Nov 18, 2024; 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.