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

Northeast Dental Center, PC

Organization General Practice Dentistry · NPI 1992967475

Northeast Dental Center, PC is a General Practice Dentistry in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2008.

Licensed in
PA
In the registry since
2008
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

10847 Bustleton Ave
Philadelphia, PA 19116-3301
Phone: (215) 552-9800
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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 DS036113 (PA)

Record details

NPI number1992967475
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Oleg Amayev — Owner · (215) 552-9800
NPI enumeratedJune 26, 2008
Last updated in NPPESOctober 17, 2011
Mailing address10847 Bustleton Ave, Philadelphia, PA 19116-3301

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