JOHN A TAKACS DMD


Address: 1707w Passyunk Ave, Philadelphia, PA 19145
Phone: 2152717259

JOHN A TAKACS DMD (NPI# 1821519752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821519752
Entity Type Organization
Organization Name JOHN A TAKACS DMD
Practice Address 1707w Passyunk Ave
Philadelphia
PA 19145
Mailing Address 333 Queen St
Philadelphia
PA 19147-3220
Practice Telephone 2152717259
Mailing Telephone 2152879871
Enumeration Date 2017-06-30
Last Update Date 2017-06-30
Authorized Official Name DR. JOHN ALEXANDER TAKACS (OWNER/DENTIST)
Authorized Official Telephone 2152717259
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
DS039780 PA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
UNITED CONCORDIA 1295156081 01
CIGNA 1295156081 01
DELTA DENTAL 1295156081 01
MET LIFE 1295156081 01
HORIZON 1295156081 01

Office Location

Street Address 1707W PASSYUNK AVE
City PHILADELPHIA
State PA
Zip Code 19145

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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1558913129 Advanced Dentistry of Center City Clinic/Center 1601 Walnut St Ste 600, Philadelphia, PA 19102-2904 2019-07-12
1841852241 Cil Institute Inc Clinic/Center 3508 Market St Ste 256, Philadelphia, PA 19104-3320 2019-07-05
1154982775 K Dental LLC Clinic/Center 6214 Bustleton Avenue, Philadelphia, PA 19149 2019-06-25
1598221129 Minard Duka Dmd PC Clinic/Center 9501 Hilspach St, Philadelphia, PA 19115-3918 2019-02-19
1851855993 Advanced Dentistry of Philadelphia Clinic/Center 7501 Stenton Ave, Philadelphia, PA 19150-3710 2019-01-23
1811468929 Old City Orthodontics LLC Clinic/Center 14 S 3rd Street, 1st Floor, Philadelphia, PA 19106 2018-12-16
1972074250 Center One Dental Associates PC Clinic/Center 9880 Bustleton Ave Ste 213, Philadelphia, PA 19115-2143 2018-12-11
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Competitor

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City PHILADELPHIA
Zip Code 19145

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Dataset Information

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.

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