Dag Frankford Avenue PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DAG FRANKFORD AVENUE PC

Practice address

7052-56 Frankford Ave
Philadelphia, PA 19135

Phone

(267) 463-2777

Fax

(215) 463-5651

NPI assigned

Oct 13, 2023

Organization subpart

No

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

Authorized official

Name

Rafaela Nedelea

Title

Director of Operations

Phone

(267) 334-0082

Specialties & licenses 1

Addresses

Other names 1

• Innovative Dental Doing business as

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1477334548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7052-56 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19135",
            "telephone_number": "267-463-2777",
            "fax_number": "215-463-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7052-56 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19135",
            "telephone_number": "267-463-2777",
            "fax_number": "215-463-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAG FRANKFORD AVENUE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "NEDELEA",
        "authorized_official_first_name": "RAFAELA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "267-334-0082"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Innovative Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brianna Dade-Modasia, MD
• Shafiullah Dadpor, RPH
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• Randa Abbas Elsiddig Dafalla
• Dafrik Homecare Services LLC
• Rachelle Dagene
• Anna-Maria Dagher, MD
• Christian Dagher, MD, MSC
• Mandeep Sanat Dagli, MD
• Mert Marcel Dagli, 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 Oct 13, 2023; 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.