OrganizationActive
Locust Street Periodontics Implant Dentistry L.L.C.
NPI 1063536290 · Periodontics · Philadelphia, PA
Locust Street Periodontics Implant Dentistry L.L.C. is a Periodontics organization in Philadelphia, PA (NPI 1063536290).
Provider details
- NPI number
- 1063536290
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Joseph Gian-Grasso, Owner(215) 732-4450
- License
- DS018466L (PA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1500 Locust St.
Suite 1408
Philadelphia, PA 19102-4314
Phone: (215) 732-4450
Fax: (215) 735-9886
Street-level locationGet directions
Mailing address
1500 Locust St.
Philadelphia, PA 19102-4314
Registry dates
- Enumerated
- 2007-03-16
- Last updated
- 2020-08-22
Frequently asked questions
- What is Locust Street Periodontics Implant Dentistry L.L.C.'s NPI number?
- Locust Street Periodontics Implant Dentistry L.L.C.'s National Provider Identifier (NPI) is 1063536290, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Locust Street Periodontics Implant Dentistry L.L.C.?
- Locust Street Periodontics Implant Dentistry L.L.C. is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Locust Street Periodontics Implant Dentistry L.L.C. located?
- Locust Street Periodontics Implant Dentistry L.L.C.'s practice location on file with NPPES is 1500 Locust St., Philadelphia, PA 19102-4314.
- What is Locust Street Periodontics Implant Dentistry L.L.C.'s phone number?
- The practice phone number listed in the NPPES registry for Locust Street Periodontics Implant Dentistry L.L.C. is (215) 732-4450.
- Who is the authorized official for Locust Street Periodontics Implant Dentistry L.L.C.?
- The authorized official listed on Locust Street Periodontics Implant Dentistry L.L.C.'s NPPES record is Joseph Gian-Grasso, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Locust Street Periodontics Implant Dentistry L.L.C.'s NPI active?
- Yes — Locust Street Periodontics Implant Dentistry L.L.C.'s NPI (1063536290) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.