Society Hill Dental Practice P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS017127L Issued in PA

Legal business name

SOCIETY HILL DENTAL PRACTICE P.C.

Practice address

1829 JFK Blvd
Philadelphia, PA 19103-1701

Phone

(215) 575-0550

Fax

(215) 575-0554

NPI assigned

May 13, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Leang Kong

Title

Office Manager

Phone

(215) 575-0550

Specialties & licenses 1

Addresses

Other names 1

• Dentistry For Life Doing business as

Locations

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1811948086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 WALNUT ST",
            "address_2": "SUITE 1217",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022944",
            "telephone_number": "215-575-0550",
            "fax_number": "215-575-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 JFK BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031701",
            "telephone_number": "215-575-0550",
            "fax_number": "215-575-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIETY HILL DENTAL PRACTICE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "KONG",
        "authorized_official_first_name": "LEANG",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-575-0550",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS017127L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry For Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raymond Edward Soccio, M.D., PH.D.
• Rachael Socha, RDT
• Society Hill Anesthesia Consultants
• Society Hill Anesthesia Consultants, PC
• Society Hill Dental Associates
• Society Hill Family Dentistry
• Patrick George Sockler, MD
• Andreea Socoloschi, LCSW
• Lisa Michelle Soda
• Lohit Sodagum, MD

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, 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 Dec 16, 2010; 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.