DENTAL WIZARD G PC (NPI# 1417465402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417465402 |
Entity Type | Organization |
Organization Name | DENTAL WIZARD G PC |
Other Organization Name | PARADISE DENTAL |
Practice Address |
2338 N Front St Philadelphia PA 19133-3716 |
Practice Telephone | 2678869474 |
Enumeration Date | 2018-01-12 |
Last Update Date | 2018-06-16 |
Authorized Official Name | OLEG GENIS (OWNER) |
Authorized Official Telephone | 2678869474 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
Other Name | Type Code |
---|---|
Diamante Dental | Doing Business As Name - Organization |
Paradise Dental | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
100 E Allegheny Ave, Philadelphia, PA 191342207 | 2159952725 |
Street Address |
2338 N FRONT ST |
City | PHILADELPHIA |
State | PA |
Zip Code | 19133-3716 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518203744 | Paradise Dental,inc | Dentist | 2338 N Front St, Philadelphia, PA 19133-3716 | 2012-12-16 |
1295241545 | Dental Wizard, PC | Dentist | 2338 N Front St, Philadelphia, PA 19133-3716 | 2017-12-22 |
1033558374 | Garima Sinha | Dentist | 2338 N Front St, Philadelphia, PA 19133-3716 | 2013-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427525708 | Delia Maria Home Care Agency LLC | Home Health Aide | 2945-47 N. 5th Street, Philadelphia, PA 19133 | 2018-10-25 |
1215417738 | Ajaj Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 3116 North Front St, Philadelphia, PA 19133 | 2018-08-14 |
1730636101 | Martha Pinto | Registered Nurse | 412 W. Lehigh Avenue, Philadelphia, PA 19133 | 2016-09-02 |
1295105989 | Mariana Arguelles-alcazar | Technician, Other | 216 W. Somerset St, Esfuerzo Program, Philadelphia, PA 19133 | 2015-10-07 |
1750785457 | Cinthya M Gonzalez Reveron | Speech-Language Pathologist | 2215 N American Street, Philadelphia, PA 19133 | 2014-10-09 |
1306166434 | Roberto Hilario | Counselor | 29297 North 5th Street, Philadelphia, PA 19133 | 2010-06-11 |
1598919300 | Pan American Academy Charter School | Local Education Agency (LEA) | 126 West Dauphin Street, Philadelphia, PA 19133 | 2008-11-06 |
1518157114 | Jennifer Leah Hoffman | Registered Nurse | 452 W. Allegheny Ave, Philadelphia, PA 19133 | 2007-07-30 |
1245441534 | Mark D. Lyons | Physician Assistant | 452 W. Allegheny Ave., Phila., PA 19133 | 2007-05-25 |
1104037613 | Christian Santana | Dentist | 29 10 North 5th Street, Phila, PA 19133 | 2007-05-25 |
Find all providers in zip 19133 |
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 | 19133 |
Please comment or provide details below to improve the information on DENTAL WIZARD G PC.
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.