# ELKINS PARK DENTAL, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316392566
- **Authorized official:** DAEUK MOON (OWNER)
- **Authorized official phone:** (215) 487-2347

## Contact information

- **Practice address:** 7900 OLD YORK RD, SUITE 115A, ELKINS PARK, PA 19027-2318
- **Practice address phone:** (215) 277-1807
- **Mailing address:** 8115 RIDGE AVE, PHILADELPHIA, PA 19128-2901
- **Mailing address phone:** (215) 487-2347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DS037680 | PA | Yes |

## Other

- **Enumeration date:** 04/25/2016
- **Last updated:** 04/25/2016