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

Newagedental II PC

Organization General Practice Dentistry · NPI 1568257681

Newagedental II PC is a General Practice Dentistry in Philadelphia, Pennsylvania. Registered with an NPI since 2025.

In the registry since
2025
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

9733 Bustleton Ave
Philadelphia, PA 19115-3231
Phone: (215) 774-5050
Fax: (215) 437-7874
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1568257681
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kirill Vasilyev — Dds · (917) 650-6200
NPI enumeratedApril 10, 2025
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025
Mailing address9733 Bustleton Ave, Philadelphia, PA 19115-3231

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