OrganizationActive
Dental Wizard G PC
NPI 1417465402 · General Practice Dentistry · Philadelphia, PA
Dental Wizard G PC is a General Practice Dentistry organization in Philadelphia, PA (NPI 1417465402).
Provider details
- NPI number
- 1417465402
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Oleg Genis, Owner(267) 886-9474
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 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
2 documented practice locations
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
2338 N Front St
Philadelphia, PA 19133-3716
Phone: (267) 886-9474
Street-level locationGet directions
Mailing address
2338 N Front St
Philadelphia, PA 19133-3716
Other names (DBA / former)
- Doing business as
- Diamante Dental
- Doing business as
- Paradise Dental
Additional practice locations (1)
- 100 E Allegheny AvePhiladelphia, PA 19134-2207Phone: (215) 995-2725
Registry dates
- Enumerated
- 2018-01-12
- Last updated
- 2018-06-16
Frequently asked questions
- What is Dental Wizard G PC's NPI number?
- Dental Wizard G PC's National Provider Identifier (NPI) is 1417465402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dental Wizard G PC?
- Dental Wizard G PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Dental Wizard G PC located?
- Dental Wizard G PC's practice location on file with NPPES is 2338 N Front St, Philadelphia, PA 19133-3716.
- What is Dental Wizard G PC's phone number?
- The practice phone number listed in the NPPES registry for Dental Wizard G PC is (267) 886-9474.
- Who is the authorized official for Dental Wizard G PC?
- The authorized official listed on Dental Wizard G PC's NPPES record is Oleg Genis, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dental Wizard G PC's NPI active?
- Yes — Dental Wizard G PC's NPI (1417465402) is active in the NPPES registry as of the last update on 2018-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.