Denti Dental,Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS029548L Issued in PA

Legal business name

DENTI DENTAL,INC

Practice address

3609 Germantown Ave
Philadelphia, PA 19140-4225

Phone

(215) 673-9050

NPI assigned

Aug 13, 2014

Organization subpart

No

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

Authorized official

Name

Irina StepanskyNPI 1467523191

Title

Dentist

Phone

(267) 467-0265

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Denti Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Denti Dental

  • Preferred Provider Organization
  • Philadelphia, PA
  • NPI 1154740579
  NPD tax ID

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.

• Irina Stepansky, DMD

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1467523191
  Authorized official Same address or phone

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1174932396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404225",
            "telephone_number": "215-673-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404225",
            "telephone_number": "215-673-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTI DENTAL,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "STEPANSKY",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "267-467-0265"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS029548L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015576780001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dentalux, LLC
• Dentam Inc
• Dentex Dental Group
• Dentex Dental Group,LTD
• Denti Dental
• Dentist Near Me PLLC
• Dentistry at 1818 Market St
• Dentistry at 1818 Market Street
• Kimberly Lynne Denton, RN
• Rajat Deo, MD

• 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 Aug 13, 2014; 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.