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

Northeastern Dentistry at Cottman

Organization General Practice Dentistry · NPI 1306141080

Northeastern Dentistry at Cottman is a General Practice Dentistry in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2011.

Licensed in
PA
In the registry since
2011

Practice location Address checks out

1936 Cottman Ave 2nd Fl
Philadelphia, PA 19111-3800
Phone: (215) 728-0777
Fax: (877) 707-5571
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS037335 (PA)

Record details

NPI number1306141080
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kavitha Chadhalavada — Owner Dentist · (856) 325-0560
NPI enumeratedJanuary 11, 2011
Last updated in NPPESJuly 30, 2013
Mailing address1936 Cottman Ave, 2nd Floor, Philadelphia, PA 19111-3800

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