| 5th St Dental Office | |
|
2822 N 5th St Philadelphia PA 19133-2712 | |
| (215) 229-3040 | |
| (215) 229-3041 |
| Full Name | 5th St Dental Office |
|---|---|
| Speciality | Dentist |
| Location | 2822 N 5th St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Parul Barot (OWNER) |
| Authorized Official Contact | 2152293040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 5th St Dental Office 2822 N 5th St Philadelphia PA 19133-2712 Ph: (215) 229-3040 | 5th St Dental Office 2822 N 5th St Philadelphia PA 19133-2712 Ph: (215) 229-3040 |
| NPI Number | 1003022328 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003022328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS020825L (Pennsylvania) | Primary |
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