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

Jonathan Mark Korostoff, DMD

Individual provider Periodontics · NPI 1154358042

Jonathan Mark Korostoff, DMD is a Periodontics in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3400 Spruce St 5 White Bldg
Philadelphia, PA 19104-4206
Phone: (215) 662-3580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DS024789L (PA)

Record details

NPI number1154358042
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESApril 2, 2013

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