CITY DENTAL LLC – NPI #1972072908
Clinic/Center

CITY DENTAL LLC is an AHC clinic located in PHILADELPHIA, PA. NPPES has assigned the NPI number 1972072908 to CITY DENTAL LLC on November 20, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CITY DENTAL LLC below.

NPI Profile for
CITY DENTAL LLC

NPI Number
1972072908
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CITY DENTAL LLC
Primary location
1100 WASHINGTON AVE 2ND FLOOR
PHILADELPHIA, PA 19147
Phone: (215) 462-4877 Fax: (215) 462-4871
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAE CHAE
OWNER
Phone: (215) 462-4877
Updated
Identifiers

Identifiers for CITY DENTAL LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDPA102705580
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.