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

Laurel Dental PC

Organization Dental Clinic/Center · NPI 1790430957

Laurel Dental PC is a Dental Clinic/Center in Philadelphia, Pennsylvania. Registered with an NPI since 2022.

In the registry since
2022
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

1701 Jfk Blvd Fl 25
Philadelphia, PA 19103-2851
Phone: (949) 305-2253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1790430957
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leighton Miller — President · (949) 305-2253
NPI enumeratedFebruary 16, 2022
Last updated in NPPESFebruary 16, 2022
Certification dateFebruary 16, 2022
Mailing address85 Argonaut Ste 220, Aliso Viejo, CA 92656-4105

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