# PHILADELPHIA DENTAL

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

## Provider details

- **NPI number:** 1447148598
- **Authorized official:** ARTYOM SHARBATYAN (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (215) 336-8391

## Contact information

- **Practice address:** 1625 CHESTNUT ST STE 228, PHILADELPHIA, PA 19103-4216
- **Practice address phone:** (215) 336-8399
- **Mailing address:** 1732 S BROAD ST, PHILADELPHIA, PA 19145-2330
- **Mailing address phone:** (215) 336-8391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/26/2025
- **Last updated:** 06/26/2025