# PA CHILDRENS DENTAL ANESTHESIA PC

> 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:** 1649003930
- **Authorized official:** STEVEN ZUCCARINI (SECRETARY)
- **Authorized official phone:** (215) 870-6259

## Contact information

- **Practice address:** 2301 E ALLEGHENY AVE STE 120, PHILADELPHIA, PA 19134-4427
- **Practice address phone:** (215) 870-6259
- **Practice address fax:** (267) 639-6270
- **Mailing address:** 2301 E ALLEGHENY AVE STE 120, PHILADELPHIA, PA 19134-4427
- **Mailing address phone:** (215) 870-6259
- **Mailing address fax:** (267) 639-6270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/22/2024
- **Last updated:** 08/22/2024