PREMIER FAMILY DENTAL, LLC (NPI# 1427068717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427068717 |
| Entity Type | Organization |
| Organization Name | PREMIER FAMILY DENTAL, LLC |
| Practice Address |
4101 Tyson Ave Philadelphia PA 19135-1615 |
| Practice Telephone | 2153389000 |
| Practice Fax Number | 2153389076 |
| Mailing Telephone | 2153389000 |
| Mailing Fax Number | 2153389076 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOAN ESPINOSA (OFFICE MANAGER) |
| Authorized Official Telephone | 2153389000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS036370 | PA | Dental Providers |
| Street Address |
4101 TYSON AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19135-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790706778 | Premier Endodontics, PC | Dentist | 4101 Tyson Ave, Philadelphia, PA 19135-1615 | 2006-07-22 |
| 1851446918 | Tri-state Eye Assoc. | Ophthalmology | 4101 Tyson Ave, Philadelphia, PA 19135-1615 | 2007-01-25 |
| 1154472165 | Edward W Gerner | Ophthalmology | 4101 Tyson Ave, Philadelphia, PA 19135-1615 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922508001 | Creative Steps Services Inc | Local Education Agency (LEA) | 7036 Frankford Avenue (first Floor), Philadelpha, PA 19135 | 2018-02-15 |
| 1467856716 | Louise Jones | Counselor | 4043 Comly Street Floor 1, Philadelphia, PA 19135 | 2014-10-15 |
| 1497198493 | Dinah Warren | Nurse Practitioner | 7001 Frankford Ave #7027, Philadelphia, PA 19135 | 2013-04-10 |
| 1447480470 | Benny M Ninan | Pharmacist | 6327 43 Torresdale Ave, Philadelphia, PA 19135 | 2009-07-24 |
| 1396894606 | Paul A Cohen Dds | Dentist | 6808 Frankford Ave, Phila, PA 19135 | 2007-01-09 |
| 1821152315 | Stuart Cobert Baer | Family Medicine | 4600 Cottman Ave, Phila, PA 19135 | 2006-12-20 |
| 1568520401 | The Foot and Ankle Group PC | Podiatrist | 6921 Frankford Avenue, Suite D, Philadelphia, PA 19135 | 2006-12-04 |
| 1497841290 | Paul A Cohen | Dentist | 6808 Frankford Avenue, Philadelphia, PA 19135 | 2006-10-05 |
| 1215948344 | Young J Genau | Family Medicine | 7131-39 Frankford Avenue, Philadelphia, PA 19135 | 2006-08-11 |
| 1992735294 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 6327 43 Torresdale Avenue, Philadelphia, PA 19135 | 2006-07-03 |
| Find all providers in zip 19135 | ||||
| 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 | 19135 |
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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.