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

Bustleton Dental Care

Organization Dentist · NPI 1942700463

Bustleton Dental Care is a Dentist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2018.

Licensed in
PA
In the registry since
2018

Practice location Address checks out

11622 Bustleton Ave
Philadelphia, PA 19116-2514
Phone: (267) 538-2627
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS028963L (PA)

Record details

NPI number1942700463
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tatyana Mirtaj — Owner · (267) 538-2627
NPI enumeratedFebruary 21, 2018
Last updated in NPPESFebruary 21, 2018
Mailing address11622 Bustleton Ave, Philadelphia, PA 19116-2514

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