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

Dental Wizard G PC

Organization General Practice Dentistry · NPI 1417465402

Dental Wizard G PC is a General Practice Dentistry in Philadelphia, Pennsylvania. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
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

2338 N Frnt ST
Philadelphia, PA 19133-3716
Phone: (267) 886-9474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 E Allegheny Ave, Philadelphia, PA 19134-2207 — (215) 995-2725

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1417465402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Oleg Genis — Owner · (267) 886-9474
Other names Diamante Dental; Paradise Dental
NPI enumeratedJanuary 12, 2018
Last updated in NPPESJune 16, 2018
Mailing address2338 N Front St, Philadelphia, PA 19133-3716

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