PATELKA DENTAL MANAGEMENT AT TORRESDALE LLC (NPI# 1558710236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558710236 |
| Entity Type | Organization |
| Organization Name | PATELKA DENTAL MANAGEMENT AT TORRESDALE LLC |
| Practice Address |
6101 Torresdale Ave 1st Floor Phila PA 19135-3717 |
| Mailing Address |
Po Box 6104 Phila PA 19115-6104 |
| Practice Telephone | 2153425090 |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |
| Authorized Official Name | SVETLANA KUTOVOY (PRESIDENT) |
| Authorized Official Telephone | 2153425090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS020408L | PA | Dental Providers |
| Street Address |
6101 TORRESDALE AVE 1ST FLOOR |
| City | PHILA |
| State | PA |
| Zip Code | 19135-3717 |
| 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 |
|---|---|---|---|---|
| 1346579968 | Thomas Upsitur King IIi | Dentist | 1725 W. Erie Ave., Phila, PA 19140-3544 | 2009-12-10 |
| 1821239542 | Dr Young & Associates | Dentist | 924 Arch St Bsmt, Phila, PA 19107-3100 | 2009-03-09 |
| 1689855603 | Ruth Fremont | Dentist | 5828b Market St, 2nd Floor, Phila, PA 19139-3114 | 2007-11-19 |
| 1104037613 | Christian Santana | Dentist | 29 10 North 5th Street, Phila, PA 19133 | 2007-05-25 |
| 1780804187 | Oleg Genis | Dentist | 8541 Bustleton Ave, Second Floor, Phila, PA 19152-1215 | 2007-04-26 |
| 1659595528 | Jeffrey David Glen | Dentist | 5224 Ridge Ave, Phila, PA 19128-3712 | 2007-04-12 |
| 1013130962 | Michael Anthony Slawek | Dentist | 413 Lyceum Ave, Phila, PA 19128-3418 | 2007-04-10 |
| 1568586725 | Jules Feinberg | Dentist | 6410 Rising Sun Ave, Phila, PA 19111-5229 | 2007-03-16 |
| 1780715433 | Stanley Dubin | Dentist | 2901 Secane Dr, Phila, PA 19154-1329 | 2007-03-07 |
| 1083769228 | Richard Lee Rush | Dentist | 722 Market St, Phila, PA 19106-2312 | 2007-01-25 |
| Find all providers in PHILA | ||||
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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.