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

Bella Vista Dental

Organization General Practice Dentistry · NPI 1932300316

Bella Vista Dental is a General Practice Dentistry in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007

Practice location Address checks out

1046 S St 1st Fl
Philadelphia, PA 19147-1935
Phone: (215) 627-1995
Fax: (215) 557-0799
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS019673L (PA)

Record details

NPI number1932300316
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Eidelson — President Dentist · (215) 627-1995
NPI enumeratedMay 31, 2007
Last updated in NPPESAugust 21, 2007
Mailing address1601 Walnut St, Suite 1207, Philadelphia, PA 19102-2944

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