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

Innovative Dental Services, PC

Organization Dentist · NPI 1811345275

Innovative Dental Services, PC is a Dentist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2016.

Licensed in
PA
In the registry since
2016
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

5737 N Broad St
Philadelphia, PA 19141-2307
Phone: (215) 275-6313
Fax: (215) 695-5511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS037628 (PA)

Record details

NPI number1811345275
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olga Kandov — Owner · (215) 275-6313
NPI enumeratedMay 26, 2016
Last updated in NPPESMay 26, 2016
Mailing address1535 Sweetbriar Dr, Jamison, PA 18929-1653

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