OrganizationActive
Northeast Pediatric Dental LLC
NPI 1053087759 · Pediatric Dentistry · Philadelphia, PA
Northeast Pediatric Dental LLC is a Pediatric Dentistry organization in Philadelphia, PA (NPI 1053087759).
Provider details
- NPI number
- 1053087759
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Win Lee, Pediatric Dentist(267) 809-7788
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7122 Rising Sun Ave
Philadelphia, PA 19111-3957
Phone: (267) 809-7788
Street-level locationGet directions
Mailing address
45 Village Sq
Paoli, PA 19301-2108
Other names (DBA / former)
- Doing business as
- Dentistry for Children
Registry dates
- Enumerated
- 2021-08-22
- Last updated
- 2021-08-22
- Certified
- 2021-08-22
Frequently asked questions
- What is Northeast Pediatric Dental LLC's NPI number?
- Northeast Pediatric Dental LLC's National Provider Identifier (NPI) is 1053087759, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Pediatric Dental LLC?
- Northeast Pediatric Dental LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Northeast Pediatric Dental LLC located?
- Northeast Pediatric Dental LLC's practice location on file with NPPES is 7122 Rising Sun Ave, Philadelphia, PA 19111-3957.
- What is Northeast Pediatric Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Northeast Pediatric Dental LLC is (267) 809-7788.
- Who is the authorized official for Northeast Pediatric Dental LLC?
- The authorized official listed on Northeast Pediatric Dental LLC's NPPES record is Win Lee, Pediatric Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Pediatric Dental LLC's NPI active?
- Yes — Northeast Pediatric Dental LLC's NPI (1053087759) is active in the NPPES registry as of the last update on 2021-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.