Affordable Dentistry of North Philadelphia

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS036503 Issued in PA

Legal business name

AFFORDABLE DENTISTRY OF NORTH PHILADELPHIA

Practice address

1335 W Tabor Rd
Philadelphia, PA 19141-3038

Phone

(215) 626-6298

NPI assigned

Dec 16, 2014

Last updated

Dec 16, 2014By 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. George Hanna, DMD

Title

Dentist

Phone

(215) 626-6298

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Affordable Dentistry of North Philadelphia2 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.

• Affordable Dentistry of North Philadelphia .Inc

  dba ProDental

  • Preferred Provider Organization
  • Philadelphia, PA
  • NPI 1629469937
  NPD tax ID

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1306244843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 W TABOR RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413038",
            "telephone_number": "215-626-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 W TABOR RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413038",
            "telephone_number": "215-626-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTISTRY OF NORTH PHILADELPHIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "215-626-6298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF PENNSYLVANIA",
            "identifier": "DS036503",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie Louise Affatato, LSW
• Affect Provider Group P.S.C.
• Affectionate Home Care Services LLC
• Benjamin Affenito
• Affordable Dentistry LLC
• Affordable Dentistry of North Philadelphia .Inc (ProDental)
• Affordable Dentures & Implants - Philadelphia III, P.C.
• Affordable Dentures & Implants - Philadelphia P.C.
• Affordable Eyewear of Philadelphia, LLC
• Affordable Home Health LLC

• 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 Dec 16, 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.