ABOLARIN LLC (NPI# 1104097872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104097872 |
| Entity Type | Organization |
| Organization Name | ABOLARIN LLC |
| Other Organization Name | ALPHA DENTAL CARE |
| Practice Address |
6404 Roosevelt Blvd 2nd Floor Philadelphia PA 19149-2943 |
| Mailing Address |
7439 Frankford Ave 2nd Floor Philadelphia PA 19136-3600 |
| Practice Telephone | 2158311023 |
| Practice Fax Number | 2158311129 |
| Mailing Telephone | 2156135808 |
| Mailing Fax Number | 2156135818 |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2012-07-23 |
| Authorized Official Name | DR. ANDREW O ABOLARIN (DENTAL DIRECTOR) |
| Authorized Official Telephone | 2156135808 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS037319 | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | DORAL | 9183726 | 01 |
| PA | 102051413 | 05 |
| Other Name | Type Code |
|---|---|
| Alpha Dental Care | Doing Business As Name - Organization |
| Street Address |
6404 ROOSEVELT BLVD 2ND FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19149-2943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104810530 | Michael Rosenbaum | Dentist | 6404 Roosevelt Blvd, Philadelphia, PA 19149-2943 | 2005-08-31 |
| 1740760818 | Ki Yoon Chung | Dentist | 6404 Roosevelt Blvd, Philadelphia, PA 19149-2943 | 2018-08-17 |
| 1124512157 | Sasha Manchanda | Dentist | 6404 Roosevelt Blvd, Philadelphia, PA 19149-2943 | 2018-06-22 |
| 1619258969 | Holly Do Nguyen | Dentist | 6404 Roosevelt Blvd, Philadelphia, PA 19149-2943 | 2011-08-31 |
| 1639482011 | Casey Lauren Slaninabrooks | Registered Nurse | 6404 Roosevelt Blvd, Suite 1b, Philadelphia, PA 19149-2943 | 2010-07-14 |
| 1770806887 | The Andante Center, Inc | Clinic/Center | 6404 Roosevelt Blvd, Suite 1d, Philadelphia, PA 19149-2943 | 2010-03-03 |
| 1164750352 | Jacob Richard Orozco | Dentist | 6404 Roosevelt Blvd, 2nd Floor, Philadelphia, PA 19149-2943 | 2009-11-26 |
| 1851550826 | Delligatti & Milewski Orthodontic Group, P.C. | Dentist | 6404 Roosevelt Blvd, Philadelphia, PA 19149-2943 | 2008-06-05 |
| 1023276656 | Pediatric Dental Associates Ltd | Dentist | 6404 Roosevelt Blvd, Lower Level, Philadelphia, PA 19149-2943 | 2008-05-30 |
| 1679749550 | Cichetti & Delligatti Orthodontics, P.C. | Dentist | 6404 Roosevelt Blvd, Philadelphia, PA 19149-2943 | 2008-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508418948 | Double Care Inc | Clinic/Center | 2900-14 Cottman Ave, Philadelphia, PA 19149 | 2019-07-16 |
| 1710539457 | Xiao Rong Li | Adult Companion | 2900 - 14 Cottman Avenue, Philadelphia, PA 19149 | 2019-07-12 |
| 1154982775 | K Dental LLC | Clinic/Center | 6214 Bustleton Avenue, Philadelphia, PA 19149 | 2019-06-25 |
| 1851950430 | Halo Staffing Agency, LLC | Home Health | 6401 Akron St., Philadelphia, PA 19149 | 2019-06-07 |
| 1518450626 | Family First Home Healthcare LLC | In Home Supportive Care | 1405 Alcott St, Philadelphia, PA 19149 | 2018-06-13 |
| 1992106926 | Elena Semprevivo | Dentist | 2107 Cottman Avenue, Philadelphia, PA 19149 | 2014-09-09 |
| 1518366988 | Abundant Life Home Health Services | Home Health | 6632-46 Bustleton Ave, Philadelphia, PA 19149 | 2014-08-21 |
| 1598189771 | Citywide Community Counseling Services | Clinic/Center | 1346 Knorr St, Philadelphia, PA 19149 | 2014-02-10 |
| 1114341328 | Citywide Community Counseling Services | Clinic/Center | 5807 Bustleton Avenue, Philadelphia, PA 19149 | 2014-02-07 |
| 1790115509 | Norman Huynh | Physical Therapist | 6595 B East Roosevelt Boulevard, Philadelphia, PA 19149 | 2013-11-14 |
| Find all providers in zip 19149 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385581 | Samir Zahedpasha | Dentist | 1933 Delancey Pl, Philadelphia, PA 19103-6611 | 2020-10-29 |
| 1164040424 | Aledy Miguelina Moreta | Dentist | 1813 Vineyard St, Philadelphia, PA 19130-2122 | 2020-07-13 |
| 1033737473 | David Agia | Dentist | 1318 Franklin Mills Cir # 807, Philadelphia, PA 19154-3130 | 2020-07-13 |
| 1710504113 | Hanna Lee | Dentist | 1616 S Rosewood St, Philadelphia, PA 19145-1519 | 2020-07-01 |
| 1982221636 | Aldo Profka | Dentist | 8001 Roosevelt Blvd Ste 304, Philadelphia, PA 19152-3039 | 2020-06-29 |
| 1558985317 | Oxford Dental LLC | Dentist | 5233 Oxford Ave, Philadelphia, PA 19124-1803 | 2020-06-07 |
| 1487277935 | Issam Ghaben | Dentist | 4210 Sansom St, Philadelphia, PA 19104-3589 | 2020-05-19 |
| 1508490509 | Mount Airy Family Dental LLC | Dentist | 1600 Ivy Hill Rd, Philadelphia, PA 19150-1008 | 2020-02-27 |
| 1801436506 | Special Outreach Services, PC | Dentist | 2301 E Allegheny Ave Ste 202, Philadelphia, PA 19134-4427 | 2020-01-10 |
| 1720624547 | Philadelphia Mills Dental Center | Dentist | 1318 Franklin Mills Cir #807, Philadelphia, PA 19154 | 2019-11-27 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19149 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.