Navy Yard Dental Associates, Pllc

Address: 1 Crescent Dr Ste 300, Philadelphia, PA 19112-1015
Phone: 2153984750

Navy Yard Dental Associates, Pllc (NPI# 1952947152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1952947152
Entity Type Organization
Practice Address 1 Crescent Dr Ste 300
PA 19112-1015
Practice Telephone 2153984750
Practice Fax Number 2153981036
Mailing Address 330 Middletown Blvd Ste 401
PA 19047-3204
Mailing Telephone 2154223647
Mailing Fax Number 2159874662
Authorized Official Name Mr. Douglas Greenfield (COMPLIANCE OFFICER)
Authorized Official Telephone 2153984750
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2019-11-22
Last Update Date 2019-11-22

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 122300000X Dentist Dental Providers

Other Provider Identifier

State Identifier Issuer Type Code

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

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1518502632 Rujuta Shukla Dentist 4055 Ridge Ave Apt 8402, Philadelphia, PA 19129-1666 2019-11-12
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1760031488 Einstein Practice Plan Inc Dentist 5501 Old York Rd Bldg 2nd, Philadelphia, PA 19141-3018 2019-09-05
1548817133 Steele Family Dental Dentist 1060 Holland Avenue, Philadelphia, MS 39350 2019-08-20
1356995948 Amogh Bhalerao Dentist 400 W Allegheny Ave Ste B1, Philadelphia, PA 19133-3614 2019-07-31
1801449608 Valerie J Cassis Dentist 2429 Locust St Apt 419, Philadelphia, PA 19103-5559 2019-07-20
1922660448 Fred Andrew Flores Arino Dentist 330 W Oregon Ave Ste H, Philadelphia, PA 19148-4723 2019-07-04
1952963787 Edward Mao Dentist 2455 Grant Ave, Philadelphia, PA 19114-1004 2019-07-02
1306403472 Donguk Lee Dentist 4111 Walnut St, Philadelphia, PA 19104-3535 2019-05-23
1992361794 Sun Dental & Orthodontics Pa. Inc. Dentist 1164 S 11th St, Philadelphia, PA 19147-4626 2019-05-16
Find all providers in PHILADELPHIA

Office Location

Street Address 1 CRESCENT DR STE 300
State PA
Zip Code 19112-1015

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265950802 M&m Surgical Center PC Clinic/Center 1 Crescent Dr. Suite 300, Philadelphia, PA 19112 2017-09-05
1710114293 Riverview Surgery Center At The Navy Yard Lp Clinic/Center Three Crescent Drive, Navy Yard Corporate Center, Philadelphia, PA 19112 2009-06-11
1023136942 Susan Elizabeth Fredericks Physician Assistant 1 Crescent Drive Suite 100, Navy Yard Corporate Center, Philadelphia, PA 19112 2007-03-27
1023132867 Healthmark, Incorporated Clinic/Center 1 Crescent Dr., Navy Yard Suite 100, Philadelphia, PA 19112 2007-03-19
1932526258 Anne Catherine Kane Student in an Organized Health Care Education/Training Program 3 Crescent Dr, Philadelphia, PA 19112 2014-03-25
1255539896 Sheldon Gottlieb Physical Medicine & Rehabilitation 1 Crescent Dr, Suite 100, Philadelphia, PA 19112 2007-07-05
1407074750 Jennifer L Johansen Pharmacist 5 Crescent Dr, Ny0200, Philadelphia, PA 19112-1001 2007-04-23
1679981708 Andrew Trofa Internal Medicine 5 Crescent Dr, Ny 0300, Philadelphia, PA 19112-1001 2014-08-01
1508029463 Robert Williams Carr Preventive Medicine 5 Crescent Dr, Ny 0300, Philadelphia, PA 19112-1001 2008-07-09
1174502157 Francis S Matarazzo Dentist 1 Crescent Dr, Suite 300, Philadelphia, PA 19112-1015 2006-01-10
Find all providers in zip 19112


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Zip Code 19112

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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