Dental Artistry

Primary specialty

DentistTaxonomy code 122300000X

License

DS039480 Issued in PA

Legal business name

DENTAL ARTISTRY

Practice address

1601 Walnut St
Suite 1217
Philadelphia, PA 19102-2944

Phone

(215) 575-0550

NPI assigned

Feb 13, 2015

Last updated

Feb 13, 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

Dr. Maryam Rostami, DMD

Title

Partner Dentist

Phone

(215) 575-0550

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1902297823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WALNUT ST",
            "address_2": "SUITE 1217",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WALNUT ST",
            "address_2": "SUITE 1217",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022944",
            "telephone_number": "215-575-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ARTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "ROSTAMI",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "PARTNER DENTIST",
        "authorized_official_telephone_number": "215-575-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039657",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039480",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "DH071243",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Lynn Dennis, CRNP
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• Craig Stephen Dent, DO
• Kathryn Elizabeth Dent, MD
• Dental Care and Dental Implant Center Limited (Dental Care & Dental Implant Center)
• Dental Dreams, LLC
• Dental Dreams, LLC
• Dental Dreams, LLC
• Dental Dreams, LLC

• Dentist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.