Active NPI
P3 Dental PC
Doing business as Advanced Dentistry of Philadelphia
- Dental Clinic/Center
- Philadelphia, PA
National Provider Identifier
1558793588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- DS029728L
- Legal business name
- P3 DENTAL PC
- Doing business as
- Advanced Dentistry of Philadelphia
- Practice address
- 10000 Roosevelt Blvd Ste C
Philadelphia, PA 19116-3904 - Phone
- (215) 676-0222
- Fax
- (215) 676-0224
- NPI assigned
- Aug 1, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Pinkal Shukla
- Title
- Manager
- Phone
- (215) 676-0222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | DS029728L | PA | Primary |
Addresses
Primary practice location
10000 Roosevelt Blvd Ste C
Philadelphia, PA 19116-3904
Mailing address
10000 Roosevelt Blvd Ste C
Philadelphia, PA 19116-3904
Phone (215) 676-0222
Other names 1
- Advanced Dentistry of Philadelphia
National Provider Directory
National Provider DirectoryLocations
10000 Roosevelt Blvd
Ste C
Philadelphia, PA 19116
Phone (215) 676-0222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375315200000",
"number": "1558793588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10000 ROOSEVELT BLVD STE C",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191163904",
"telephone_number": "215-676-0222",
"fax_number": "215-676-0224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 ROOSEVELT BLVD STE C",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191163904",
"telephone_number": "215-676-0222",
"fax_number": "215-676-0224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "P3 DENTAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-01",
"last_updated": "2013-08-01",
"status": "A",
"authorized_official_last_name": "SHUKLA",
"authorized_official_first_name": "PINKAL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "215-676-0222",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "PA",
"license": "DS029728L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Dentistry of Philadelphia",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Philadelphia, PA
- Alikemal Kemal Ozturk, MD
- Aybala Ozturk, LSW
- Hannah Dolinger Ozturk, LCSW
- Seniha N Ozudogru, M.D.
- P.H.O.B. Home Care LLC
- PA Care at Home Health Services LLC
- PA Care at Home Services LLC
- PA Care Medical Supplies LLC
- PA Childrens Dental Anesthesia PC
- PA Department of Military and Veterans Affairs (Delaware Valley Veterans Home)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.