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

Advanced Dental Services, PC

Organization Dentist · NPI 1508152919

Advanced Dental Services, PC is a Dentist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2011.

Licensed in
PA
In the registry since
2011
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

11880 Bustleton Ave Unit A
Philadelphia, PA 19116-2538
Phone: (215) 969-2015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS031011L (PA)

Record details

NPI number1508152919
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dmitry Karagodsky — Owner/Dentist · (215) 696-2015
NPI enumeratedJune 23, 2011
Last updated in NPPESJune 23, 2011
Mailing address11880 Bustleton Ave Unit A, Philadelphia, PA 19116-2538

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