Patelka Dental Management at Torresdale LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS020408L Issued in PA

Legal business name

PATELKA DENTAL MANAGEMENT AT TORRESDALE LLC

Practice address

6101 Torresdale Ave
1St Floor
Phila, PA 19135-3717

Phone

(215) 342-5090

NPI assigned

Jun 3, 2016

Organization subpart

No

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

Authorized official

Name

Svetlana Kutovoy

Title

President

Phone

(215) 342-5090

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1558710236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6104",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191156104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 TORRESDALE AVE",
            "address_2": "1ST FLOOR",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191353717",
            "telephone_number": "215-342-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATELKA DENTAL MANAGEMENT AT TORRESDALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "KUTOVOY",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-342-5090"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS020408L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tecola Parks
• Steven Parrillo, DO
• Bijal Patel, PHARMACIST
• Ruchika Patel, MD
• Patelka Dental Management at Frankford
• Patient Care Ambulance Inc.
• Patient First Home
• Nancy Patten, D.O.
• Paul a Cohen DDS
• Louis Francis Pauzano Jr., PHARM.D.

• General Practice Dentistry in Phila, PA
• Providers in Phila, 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 Jun 3, 2016; 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.