BROAD STREET BRACES (NPI# 1649629189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649629189 |
| Entity Type | Organization |
| Organization Name | BROAD STREET BRACES |
| Practice Address |
2010 S Juniper St Philadelphia PA 19148-5509 |
| Practice Telephone | 2014529270 |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-06 |
| Authorized Official Name | DR. NEIL UFFNER (ORTHODONTIST, OWNDER) |
| Authorized Official Telephone | 2014529270 |
| Authorized Official Credential | D.M.D, M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DS039143 | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1028648360001 | 05 |
| Street Address |
2010 S JUNIPER ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19148-5509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359194 | Pediatric Dental Team | Dentist | 2010 S Juniper St, Philadelphia, PA 19148-5509 | 2019-07-26 |
| 1467019240 | Sabina Korman | Dentist | 2010 S Juniper St, Philadelphia, PA 19148-5509 | 2019-05-28 |
| 1376021915 | Sabrina Syed | Dentist | 2010 S Juniper St, Philadelphia, PA 19148-5509 | 2018-08-06 |
| 1164918512 | Asal Mirhadizadeh | Dentist | 2010 S Juniper St, Philadelphia, PA 19148-5509 | 2018-07-09 |
| 1477073732 | Jeniffer Pereda | Dentist | 2010 S Juniper St, Philadelphia, PA 19148-5509 | 2017-06-27 |
| 1669900692 | Tianyuan Shi | Dentist | 2010 S Juniper St, Philadelphia, PA 19148-5509 | 2017-06-04 |
| 1679924468 | John Del Gaiso, PC | Dentist | 2010 S Juniper St, Philadelphia, PA 19148-5509 | 2016-06-23 |
| 1801246038 | Boryana Dimitrova | Dentist | 2010 S Juniper St, Philadelphia, PA 19148-5509 | 2016-06-19 |
| 1588044143 | Maetal Henig | Dentist | 2010 S Juniper St, Philadelphia, PA 19148-5509 | 2015-06-08 |
| 1245666007 | Neil Uffner | Dentist | 2010 S Juniper St, Philadelphia, PA 19148-5509 | 2013-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831759232 | Be Well With Beth LLC | Dietitian, Registered | 1901 S. 9th Street, Bok Building, Room 508, Philadelphia, PA 19148 | 2019-06-18 |
| 1942798186 | Beth Auguste | Dietitian, Registered | 1901 South 9th Street, Bok Building, #508, Philadelphia, PA 19148 | 2018-04-24 |
| 1457866576 | Wholehearted Homecare | In Home Supportive Care | 2555 S Jessup St, Philadelphia, PA 19148 | 2017-12-12 |
| 1326557331 | Jannick Vicky Vielleuse | Physical Therapist | 1208 Tasker Street, 2nd Floor, Philadelphia, PA 19148 | 2017-09-21 |
| 1225556137 | Jamitia Camil Wilson-knight | Counselor | 2542 S Marshall, Phila, PA 19148 | 2017-08-31 |
| 1437676855 | Elease Lee | Pharmacist | 2036 S 3rd Street, Philadelphia, PA 19148 | 2017-08-25 |
| 1598216483 | Thy Vu | Physician Assistant | 2623 S Mildred St, Philadelphia, PA 19148 | 2016-10-17 |
| 1356723019 | Meeta Chawla | Dentist | 1851 S Christopher Columbus Blvd, Philadelphia, PA 19148 | 2015-06-18 |
| 1013317882 | Damian R Bereza | Pharmacist | 2017-2023 South Broad St, Philadelphia, PA 19148 | 2014-08-29 |
| 1396144390 | Rite Aid Corporation | Pharmacy | 2017-2023 S Broad St, Philadelphia, PA 19148 | 2014-08-15 |
| Find all providers in zip 19148 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919177 | Lam Bui | Dentist | 201 N 8th St Unit 413, Philadelphia, PA 19106-1012 | 2020-07-14 |
| 1023665601 | Holly Gray | Dentist | 1812 Fitzwater St, Philadelphia, PA 19146-1852 | 2019-08-20 |
| 1306316104 | Carmen Doumit | Dentist | 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 | 2018-12-05 |
| 1447743356 | Alexandra Greco | Dentist | 834 Chestnut St Ste M209, Philadelphia, PA 19107-5114 | 2018-06-14 |
| 1952852329 | Hyeran Helen Jeon | Dentist | 240 S. 40th Street, Dental @ Locust Walk, Philadelphia, PA 19104 | 2016-10-20 |
| 1801261524 | Harold Slutsky, D.m.d., P.C. | Dentist | 7100 Frankford Ave, Philadelphia, PA 19135-1009 | 2015-12-07 |
| 1225419658 | Sheila Othman | Dentist | 100 S Broad St Ste 1530, Philadelphia, PA 19110-1026 | 2015-06-11 |
| 1174926752 | Orozcodontics, PC | Dentist | 8705 Germantown Ave, Ste A, Philadelphia, PA 19118-2720 | 2014-09-26 |
| 1588076178 | Hanel Ariel Choi | Dentist | 100 S. Broad St. Suite 1530, Philadelphia, PA 19110 | 2014-05-29 |
| 1790127223 | Jerome H Sklaroff | Dentist | 1919 Chestnut St Apt 1005, Philadelphia, PA 19103-3414 | 2013-07-25 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19148 |
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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.