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

Northeast Pediatric Dental LLC

Organization Pediatric Dentistry · NPI 1053087759

Northeast Pediatric Dental LLC is a Pediatric Dentistry in Philadelphia, Pennsylvania. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7122 Rising Sun Ave
Philadelphia, PA 19111-3957
Phone: (267) 809-7788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1053087759
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Win Lee — Pediatric Dentist · (267) 809-7788
Other names Dentistry For Children
NPI enumeratedAugust 22, 2021
Last updated in NPPESAugust 22, 2021
Certification dateAugust 22, 2021
Mailing address45 Village Sq, Paoli, PA 19301-2108

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