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

Gallery Mall Dental PC

Organization Dentist · NPI 1902051535

Gallery Mall Dental PC is a Dentist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2008.

Licensed in
PA
In the registry since
2008
Specialties on file
3
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

901 Market St Spc 3220 Gallery Mall One
Philadelphia, PA 19107
Phone: (215) 627-4290
Fax: (215) 627-4293
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS037098 (PA)
Dentist Taxonomy 122300000X · Licence DS037088 (PA)
General Practice Dentistry Taxonomy 1223G0001X

Record details

NPI number1902051535
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGallery Mall Dental
Authorized official Prolay Paul — Partner · (215) 627-4290
NPI enumeratedNovember 24, 2008
Last updated in NPPESDecember 18, 2009
Mailing address901 Market St, Space 3220, Philadelphia, PA 19107

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