OrganizationActive
Dentistry at 1818 Market St
NPI 1831642917 · Advanced Practice Dental Therapist · Philadelphia, PA
Provider details
- NPI number
- 1831642917
- Entity type
- Organization
- Primary specialty
- Advanced Practice Dental TherapistDental Providers
- Organization subpart
- No
- Authorized official
- Elaine Coady, Office Manager(215) 567-2666
- License
- DS017950 (PA)
Specialties & taxonomies
Dental Providers
Practice location
1818 Market St
Suite 100
Philadelphia, PA 19103-3638
Phone: (215) 567-2666
Approximate (ZIP-level) locationGet directions
Mailing address
1818 Market St
Philadelphia, PA 19103-3638
Registry dates
- Enumerated
- 2016-07-26
- Last updated
- 2016-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.