Organization Active NPI

SBT Dental PC

  • General Practice Dentistry
  • Philadelphia, PA
National Provider Identifier
1851753966
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SBT DENTAL PC
Practice address
7516 City Ave Ste 15
Philadelphia, PA 19151-2102
Phone
(215) 877-3322
Fax
(215) 879-7773
NPI assigned
Mar 28, 2016
Last updated
Mar 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Authorized official

Name
Seniboye B TienabesoNPI 1417026352
Title
Owner
Phone
(215) 877-3322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

7516 City Ave Ste 15
Philadelphia, PA 19151-2102

Mailing address

7516 City Ave Ste 15
Philadelphia, PA 19151-2102
Phone (215) 877-3322

National Provider Directory

National Provider Directory

Locations

7516 City Line Ave
Ste 15
Philadelphia, PA 19151
Phone (215) 857-5861

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1851753966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7516 CITY AVE STE 15",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512102",
            "telephone_number": "215-877-3322",
            "fax_number": "215-879-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7516 CITY AVE STE 15",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512102",
            "telephone_number": "215-877-3322",
            "fax_number": "215-879-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SBT DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "TIENABESO",
        "authorized_official_first_name": "SENIBOYE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-877-3322"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.