Penn 1 Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PENN 1 FAMILY DENTAL

Practice address

1404 Point Breeze Ave
Philadelphia, PA 19146-4522

Phone

(215) 344-2141

NPI assigned

Jul 10, 2018

Organization subpart

No

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

Authorized official

Name

Surbhi Bhatia

Title

Dentist

Phone

(215) 638-3350

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1689160996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 POINT BREEZE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191464522",
            "telephone_number": "215-344-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 POINT BREEZE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191464522",
            "telephone_number": "215-344-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN 1 FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "BHATIA",
        "authorized_official_first_name": "SURBHI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "215-638-3350"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Lou Peng
• Tien Peng, MD
• Thomas Anthony Penko Jr., RN
• Penn
• Penn 1 Dental
• Penn Acupuncture Partners
• Penn Asian Healthcare Services LLC
• Penn Asian Senior Services, Inc.
• Penn Center for Rehabiliation and Care
• Penn Dental Center PC

• 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 Jul 10, 2018; 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.