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

Penn 1 Dental

Organization General Practice Dentistry · NPI 1003204553

Penn 1 Dental is a General Practice Dentistry in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2015.

Licensed in
PA
In the registry since
2015

Practice location Address checks out

1404 Point Breeze Ave
Philadelphia, PA 19146-4522
Phone: (215) 290-8230
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 DS038565 (PA)

Record details

NPI number1003204553
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yefim Aranbayev — Dentist/President · (215) 290-8230
NPI enumeratedJanuary 7, 2015
Last updated in NPPESJanuary 7, 2015
Mailing address1404 Point Breeze Ave, Philadelphia, PA 19146-4522

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