| Locust Street Periodontics Implant Dentistry L.l.c. | |
|
1500 Locust St. Suite 1408 Philadelphia PA 19102-4314 | |
| (215) 732-4450 | |
| (215) 735-9886 |
| Full Name | Locust Street Periodontics Implant Dentistry L.l.c. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1500 Locust St., Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Joseph Gian-grasso (OWNER) |
| Authorized Official Contact | 2157324450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Locust Street Periodontics Implant Dentistry L.l.c. 1500 Locust St. Suite 1408 Philadelphia PA 19102-4314 Ph: (215) 732-4450 | Locust Street Periodontics Implant Dentistry L.l.c. 1500 Locust St. Suite 1408 Philadelphia PA 19102-4314 Ph: (215) 732-4450 |
| NPI Number | 1063536290 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063536290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DS018466L (Pennsylvania) | Primary |
5th St Dental Office Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2822 N 5th St, Philadelphia, PA 19133 Phone: 215-229-3040 Fax: 215-229-3041 | |
Joly Jacob, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 443 W Girard Ave, Philadelphia, PA 19123 Phone: 215-763-7985 Fax: 215-763-7987 | |
Penn 1 Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1404 Point Breeze Ave, Philadelphia, PA 19146 Phone: 215-290-8230 | |
Innovative Dental Services, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7234 Rising Sun Ave, Philadelphia, PA 19111 Phone: 215-745-4313 Fax: 215-745-4388 | |
Mayfair Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4612 Frankford Ave, Unit 10, Philadelphia, PA 19124 Phone: 215-333-8100 Fax: 215-333-8111 | |
Gilbert Dental Care, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Market St, Lower Lobby, Philadelphia, PA 19102 Phone: 215-972-0406 | |
Avenue Of The Arts Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 622 S Broad St, Philadelphia, PA 19146 Phone: 215-545-0660 Fax: 215-545-0665 |