# GREATER PHILADELPHIA HEALTH ACTION INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GPHA - Snyder Avenue Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760709794
- **Authorized official:** MRS. D TINA SMITH (PROVIDER ENROLLMENT SPEC.)
- **Authorized official phone:** (215) 925-2400

## Contact information

- **Practice address:** 640 SNYDER AVE, PHILADELPHIA, PA 19148-2419
- **Practice address phone:** (215) 334-4900
- **Practice address fax:** (215) 334-9721
- **Mailing address:** 1401 S 31ST ST, 2ND FLOOR, PHILADELPHIA, PA 19146-3506
- **Mailing address phone:** (215) 925-2400
- **Mailing address fax:** (215) 925-9162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/30/2010
- **Last updated:** 03/15/2017