WASHINGTON AVE DENTAL CENTER PC NPI 1255609848

NPI Information

  • NPI: 1255609848
  • Provider Name: WASHINGTON AVE DENTAL CENTER PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: DENTIST ON WASHINGTON
  • Address: 544 WASHINGTON AVE
    PHILA, PA
    ZIP 19147
  • Phone: (215) 389-9889

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NPI Details

WASHINGTON AVE DENTAL CENTER PC is a general practice dentist in Phila, PA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. WASHINGTON AVE DENTAL CENTER PC NPI is 1255609848. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dentist On Washington.

The provider's business location address is:

544 WASHINGTON AVE
PHILA, PA
ZIP 19147
Phone: (215) 389-9889

The provider's authorized official is William John Costello .
The authorized official title is Dentist/owner and has the following contact phone number (215) 389-9889.

The enumeration date for this NPI number is 12/9/2011 and was last updated on 12/9/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDSO36827PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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