Vip Dental Care, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

VIP DENTAL CARE, LLC

Practice address

5620 N 5TH St
Philadelphia, PA 19120-2306

Phone

(215) 650-7313

Fax

(215) 695-5511

NPI assigned

Oct 2, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Yefim Kandov

Title

Principle

Phone

(215) 275-6313

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olga Kandov, DMD

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1821248873
  NPD (past)

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1497265649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 SWEETBRIAR DR",
            "city": "JAMISON",
            "state": "PA",
            "postal_code": "189291653",
            "telephone_number": "215-275-6313",
            "fax_number": "267-368-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202306",
            "telephone_number": "215-650-7313",
            "fax_number": "215-695-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "KANDOV",
        "authorized_official_first_name": "YEFIM",
        "authorized_official_title_or_position": "PRINCIPLE",
        "authorized_official_telephone_number": "215-275-6313",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liara Destiny Vinson, DDS
• Violet Bloom Therapy LLC
• Gregory Ernest Violet
• Viora Health Inc
• Vip Ambulance
• Vip Healthcare Group
• Vip Medical Supply LLC
• Vip Transport of Philadelphia
• Liji Vipin
• Diana Rebecca Virella-Saenz, M.D.

• 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 Feb 8, 2024; 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.