# NORTHPARK DENTAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northpark Aesthetic Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376076166
- **Authorized official:** DR. AKASH BAROT D.D.S. (MANAGING MEMBER)
- **Authorized official phone:** (215) 335-2220

## Contact information

- **Practice address:** 6239 FRANKFORD AVE, PHILADELPHIA, PA 19135-3404
- **Practice address phone:** (215) 333-8441
- **Practice address fax:** (215) 333-8442
- **Mailing address:** 7519 TORRESDALE AVE, PHILADELPHIA, PA 19136-3335
- **Mailing address phone:** (215) 335-2220
- **Mailing address fax:** (215) 335-4340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DS040036 | PA | Yes |

## Other

- **Enumeration date:** 04/07/2017
- **Last updated:** 04/07/2017