BELLA VISTA DENTAL NPI 1932300316

NPI Information

  • NPI: 1932300316
  • Provider Name: BELLA VISTA DENTAL
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 1046 SOUTH ST
    1ST FLOOR
    PHILADELPHIA, PA
    ZIP 19147
  • Phone: (215) 627-1995

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NPI Details

BELLA VISTA DENTAL is a general practice dentist in Philadelphia, 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. BELLA VISTA DENTAL NPI is 1932300316. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1046 SOUTH ST
1ST FLOOR
PHILADELPHIA, PA
ZIP 19147-935
Phone: (215) 627-1995
Fax: (215) 557-0799

The provider's authorized official is Richard Victor Eidelson .
The authorized official title is President Dentist and has the following contact phone number (215) 627-1995.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 8/21/2007.

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 PracticeDS019673LPENNSYLVANIAYes

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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