University City Dental Center

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DS036647 Issued in PA

Legal business name

UNIVERSITY CITY DENTAL CENTER

Doing business as

University City Dental

Practice address

5338 Baltimore Ave
Philadelphia, PA 19143-3117

Phone

(215) 476-2122

Fax

(215) 476-6863

NPI assigned

Apr 16, 2008

Last updated

Apr 16, 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. Suleiman M Dzilala, DMDNPI 1962527267

Title

President

Phone

(215) 476-2122

Specialties & licenses 1

Addresses

Other names 1

• UNIVERSITY CITY DENTAL Doing business as

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.

• Suleiman M Dzilala II, DMD

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1962527267
  NPD (past) Authorized official

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1184898587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5338 BALTIMORE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433117",
            "telephone_number": "215-476-2122",
            "fax_number": "215-476-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5338 BALTIMORE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433117",
            "telephone_number": "215-476-2122",
            "fax_number": "215-476-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY CITY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "DZILALA",
        "authorized_official_first_name": "SULEIMAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-476-2122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS036647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSITY CITY DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Universal Medical Response, Inc. (Universal Medical Response)
• Universal Pharmacy and Medical Supplies Inc. (Universal Pharmacy)
• Universal Respiratory Care Services, LLC
• Universal Sleep and Neurodiagnostic Inc
• Universal Vare Charter School
• University City Operator LLC (University City Rehabilitation and Healthcare Center)
• University Medevac, LLC
• University Neurosurgical, PC
• University of Penn - Anesthesia
• University of Penn - Dermatology

• Dental Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.