Affordable Dentistry of North Philadelphia .Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

AFFORDABLE DENTISTRY OF NORTH PHILADELPHIA .INC

Doing business as

ProDental

Practice address

1335 W. Tabor Road (Suite 105)
(Suite 105)
Philadelphia, PA 19141-3038

Phone

(215) 276-3369

NPI assigned

Feb 9, 2015

Last updated

Feb 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Tahir Tahir Farid

Title

Founder and Ceo

Phone

(215) 964-8396

Specialties & licenses 2

Addresses

Other names 1

• ProDental Doing business as

Tax ID family

Affordable Dentistry of North Philadelphia2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Affordable Dentistry of North Philadelphia

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1306244843
  NPD tax ID

Locations

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1629469937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 W. TABOR ROAD (SUITE 105)",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19141",
            "telephone_number": "215-276-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 W. TABOR ROAD (SUITE 105)",
            "address_2": "(SUITE 105)",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413038",
            "telephone_number": "215-276-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTISTRY OF NORTH PHILADELPHIA .INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "TAHIR FARID",
        "authorized_official_first_name": "TAHIR",
        "authorized_official_title_or_position": "FOUNDER AND CEO",
        "authorized_official_telephone_number": "215-964-8396",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProDental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Affect Provider Group P.S.C.
• Affectionate Home Care Services LLC
• Benjamin Affenito
• Affordable Dentistry LLC
• Affordable Dentistry of North Philadelphia
• Affordable Dentures & Implants - Philadelphia III, P.C.
• Affordable Dentures & Implants - Philadelphia P.C.
• Affordable Eyewear of Philadelphia, LLC
• Affordable Home Health LLC
• Emmanuel Afia

• Preferred Provider Organization in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Preferred Provider Organization in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.