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

Pennsylvania Center for Dental Implants and Periodontics, LLC

Organization Periodontics · NPI 1356700835

Pennsylvania Center for Dental Implants and Periodontics, LLC is a Periodontics in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2016.

Licensed in
PA
In the registry since
2016
Specialties on file
2
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

9880 Bustleton Ave Ste 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)
Periodontics Taxonomy 1223P0300X · Licence DS039673 (PA)

Record details

NPI number1356700835
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tami Vishio — Office Manager · (215) 677-8686
NPI enumeratedFebruary 12, 2016
Last updated in NPPESFebruary 12, 2016
Mailing address9880 Bustleton Ave, Suite 211-212, Philadelphia, PA 19115-2185

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