Advance Dental Care Consultants

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS037171 Issued in PA

Legal business name

ADVANCE DENTAL CARE CONSULTANTS

Practice address

1225 Vine St
Ste 401
Philadelphia, PA 19107-1116

Phone

(215) 564-1679

NPI assigned

Jul 13, 2011

Organization subpart

No

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

Authorized official

Name

Mohammad Aziz Ghani

Title

Dentist

Phone

(215) 564-1679

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1972891851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 VINE ST",
            "address_2": "STE 401",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071116",
            "telephone_number": "215-564-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 VINE ST",
            "address_2": "STE 401",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071116",
            "telephone_number": "215-564-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE DENTAL CARE CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "GHANI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "AZIZ",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "215-564-1679"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jul 13, 2011; 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.