OrganizationActive
360 Dental, PC
NPI 1063893535 · Dental Clinic/Center · Philadelphia, PA
Provider details
- NPI number
- 1063893535
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mikhail Sitkovetsky, Owner/Doctor(215) 962-2242
- License
- DS038816 (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1350 E Lycoming St
Philadelphia, PA 19124-5354
Phone: (267) 242-1709
Approximate (ZIP-level) locationGet directions
Mailing address
1350 E Lycoming St
Philadelphia, PA 19124-5354
Registry dates
- Enumerated
- 2015-06-10
- Last updated
- 2015-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.