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

Pennsylvania Center for Dental Implants and Periodontics

Organization Periodontics · NPI 1417031923

Pennsylvania Center for Dental Implants and Periodontics is a Periodontics in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006

Practice location Address checks out

9880 Bustleton Ave #211-212
Philadelphia, PA 19115-2185
Phone: (215) 677-8686
Fax: (215) 677-7212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DS022257L (PA)

Record details

NPI number1417031923
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Levine — Owner · (215) 677-8686
NPI enumeratedOctober 24, 2006
Last updated in NPPESAugust 22, 2020
Mailing address9880 Bustleton Ave, 211-212, Philadelphia, PA 19115-2185

Other providers in Philadelphia