Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

360 Dental, PC

Organization Dental Clinic/Center · NPI 1063893535

360 Dental, PC is a Dental Clinic/Center in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2015.

Licensed in
PA
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1350 E Lycoming St
Philadelphia, PA 19124-5354
Phone: (267) 242-1709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence DS038816 (PA)

Record details

NPI number1063893535
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mikhail Sitkovetsky — Owner/Doctor · (215) 962-2242
NPI enumeratedJune 10, 2015
Last updated in NPPESJune 10, 2015
Mailing address1350 E Lycoming St, Philadelphia, PA 19124-5354

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