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

Viraj Sabu Ganesan, DDS

Individual provider Dentist · NPI 1679246805

Viraj Sabu Ganesan, DDS is a Dentist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2021.

Licensed in
PA
In the registry since
2021
Specialties on file
2
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

1500 John F Kennedy Blvd Ste 1906
Philadelphia, PA 19102-1714
Phone: (215) 709-0001
Fax: (215) 709-6002
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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 DS043225 (PA)
Dentist Taxonomy 122300000X · Licence DS043225 (PA)

Record details

NPI number1679246805
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 25, 2021
Last updated in NPPESJuly 25, 2021
Certification dateJuly 25, 2021

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