Patelka Dental on Wheels

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DS020408L Issued in PA

Legal business name

PATELKA DENTAL ON WHEELS

Practice address

8332 Bustleton Ave
Unit B
Philadelphia, PA 19152-1909

Phone

(215) 342-5090

NPI assigned

Aug 15, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Svetlana Kutovoy

Title

Owner

Phone

(215) 342-5090

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1386992873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51027",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191150027",
            "telephone_number": "215-342-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8332 BUSTLETON AVE",
            "address_2": "UNIT B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521909",
            "telephone_number": "215-342-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATELKA DENTAL ON WHEELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "KUTOVOY",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-342-5090",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS020408L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yogini Patel
• Yomaben Y Patel, PHARM D
• Zalak Tirth Patel, DMD
• Zeel Hemantbhai Patel, M.B.B.S
• Patelka Dental LLC
• Elizabeth Marie Paterek, M.D.
• Kathleen Paterson, MD
• Path (People Acting to Help)
• Path (People Acting to Help), Inc (PATH, Inc)
• Path (People Acting to Help), Inc (PATH, Inc)

• 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 Aug 15, 2012; 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.