Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Richard Victor Eidelson, DDS, FAGD

Individual provider General Practice Dentistry · NPI 1235344037

Dr. Richard Victor Eidelson, DDS, FAGD is a General Practice Dentistry in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1048 S St
Philadelphia, PA 19147-1935
Phone: (215) 627-1995
Fax: (215) 627-1999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS019673L (PA)

Record details

NPI number1235344037
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , FAGD
Sole proprietorYes
NPI enumeratedMay 14, 2007
Last updated in NPPESMay 17, 2011

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