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

Main Street Dental Center City PC

Organization General Practice Dentistry · NPI 1639370661

Main Street Dental Center City PC is a General Practice Dentistry in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
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

1048 S St
Philadelphia, PA 19147-1935
Phone: (215) 627-1995
Fax: (215) 627-1999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS019673L (PA)

Record details

NPI number1639370661
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Eidelson — President Dentist · (215) 627-1995
NPI enumeratedMay 29, 2007
Last updated in NPPESApril 22, 2011
Mailing address1048 South St, Philadelphia, PA 19147-1935

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