OrganizationActive
Specialty Management
NPI 1720259583 · Orthodontics and Dentofacial Orthopedics Dentistry · Philadelphia, PA
Provider details
- NPI number
- 1720259583
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Sophia Avanzato, President/Ceo(484) 432-2737
Specialties & taxonomies
Dental Providers
- Dentist122300000X
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
626 Snyder Ave
Suite 200
Philadelphia, PA 19148-2419
Phone: (267) 940-0300
Street-level locationGet directions
Mailing address
626 Snyder Ave
Philadelphia, PA 19148-2419
Registry dates
- Enumerated
- 2008-03-19
- Last updated
- 2008-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.