2020dentistry

Dentist · Phila, PA

Organization Active NPI

NPI number 1063869030

Practice location

1601 Walnut St
Suite 801
Phila, PA 19102
Phone
(215) 567-4949
Fax
(215) 567-0901

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NPI record

NPI
1063869030
Entity type
Organization (Type 2)
Enumeration date
May 19, 2016
Last updated
May 19, 2016
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 027190-L PA

Mailing address

1601 Walnut St
Suite 801
Philadelphia, PA 19102-2944
Phone
(215) 567-4949
Fax
(215) 567-0901

Authorized official

Name
Dr. Pierre J Mouradian, DMD
Title
Dentist
Phone
(215) 567-4949

About 2020dentistry

2020dentistry is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1601 Walnut St, Suite 801, Phila, PA 19102. The NPI number 1063869030 was assigned on May 19, 2016 and the record was last updated on May 19, 2016.

2020dentistry lists a license in the registry: #027190-L (PA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Pierre J Mouradian, DMD, Dentist.

Frequently asked questions

What is the NPI number of 2020dentistry?

The NPI number is 1063869030.

What is the phone number of 2020dentistry?

The phone number listed for the practice location is (215) 567-4949.

Where is 2020dentistry located?

1601 Walnut St, Suite 801, Phila, PA 19102.

What is the taxonomy code for 2020dentistry?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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