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

Richard C Squillaro DDS, PC

Organization Periodontics · NPI 1932323235

Richard C Squillaro DDS, PC is a Periodontics in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2546 S Broad St
Philadelphia, PA 19145-4638
Phone: (215) 463-6677
Fax: (215) 463-1077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DS017459L (PA)

Record details

NPI number1932323235
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Squillaro — President · (215) 463-6677
NPI enumeratedApril 11, 2007
Last updated in NPPESMay 14, 2013
Mailing address1512 Temple Dr, Maple Glen, PA 19002-3312

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