Absolute Smile

Organization Active NPI General Practice Dentistry · Chester, PA

NPI 1598041014 · NPPES record last updated Oct 28, 2011

Key facts

NPI
1598041014
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
DS031318-L (PA)
Legal business name
ABSOLUTE SMILE
Practice address
2701 W 10TH St
Suite B
Chester, PA 19013
Phone
(610) 364-0404
NPI assigned
Oct 28, 2011
Organization subpart
No

Authorized official

Name
Dr. Boris Fridman, DMD
Title
Owner/Practitioner
Phone
(610) 364-0404

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

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

National Provider Directory

Tax ID family
Absolute Smile (4 organizations share this tax ID)

Locations

2701 W 10th St
#B
Chester, PA 19013
Phone (610) 364-0404

6737 Harbison Ave
Philadelphia, PA 19149

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223G0001X DS031318-L PA Yes

Addresses

Primary practice location

2701 W 10TH St
Suite B
Chester, PA 19013

Mailing address

6737 Harbison Ave
Philadelphia, PA 19149-2342
Phone (215) 331-7585

Other providers in Chester, PA

All providers in Chester, PA · General Practice Dentistry in Pennsylvania

Sources for this page

Verify at the official NPI Registry.