OrganizationActive
5th Street Dental Center Inc
NPI 1801939012 · General Practice Dentistry · Philadelphia, PA
Provider details
- NPI number
- 1801939012
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Sharon Wilson, Owner(215) 324-1950
- License
- DS018692-L (PA)
Specialties & taxonomies
Dental Providers
Practice location
4646 North 5th St
Philadelphia, PA 19140
Phone: (215) 324-1950
Fax: (215) 324-1950
Approximate (ZIP-level) locationGet directions
Mailing address
4646 North 5th St
Philadelphia, PA 19140
Registry dates
- Enumerated
- 2007-02-15
- Last updated
- 2008-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.