OrganizationActive
Cd Pennsylvania Dental, P.C.
NPI 1174015671 · Dentist · Philadelphia, PA
Cd Pennsylvania Dental, P.C. is a Dentist organization in Philadelphia, PA (NPI 1174015671).
Provider details
- NPI number
- 1174015671
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Ty Justice, Director, Credentialing & Payer Rel(512) 808-4984
Specialties & taxonomies
Dental Providers
- General Practice Dentistry1223G0001X
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
6012 Greene St
Philadelphia, PA 19144-2726
Phone: (215) 843-9400
Fax: (215) 843-3237
Street-level locationGet directions
Mailing address
9825 Kenwood Rd Ste 200
Blue Ash, OH 45242-6252
Other names (DBA / former)
- Doing business as
- Drs. Melman, Ravett & Associates
- Doing business as
- Greene Street Dental
Registry dates
- Enumerated
- 2018-05-31
- Last updated
- 2025-06-30
- Certified
- 2025-06-30
Frequently asked questions
- What is Cd Pennsylvania Dental, P.C.'s NPI number?
- Cd Pennsylvania Dental, P.C.'s National Provider Identifier (NPI) is 1174015671, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cd Pennsylvania Dental, P.C.?
- Cd Pennsylvania Dental, P.C. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Cd Pennsylvania Dental, P.C. located?
- Cd Pennsylvania Dental, P.C.'s practice location on file with NPPES is 6012 Greene St, Philadelphia, PA 19144-2726.
- What is Cd Pennsylvania Dental, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Cd Pennsylvania Dental, P.C. is (215) 843-9400.
- Who is the authorized official for Cd Pennsylvania Dental, P.C.?
- The authorized official listed on Cd Pennsylvania Dental, P.C.'s NPPES record is Ty Justice, Director, Credentialing & Payer Rel. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cd Pennsylvania Dental, P.C.'s NPI active?
- Yes — Cd Pennsylvania Dental, P.C.'s NPI (1174015671) is active in the NPPES registry as of the last update on 2025-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.