# CARL L TINKLEMAN DMD PC

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

## Provider details

- **NPI number:** 1770592594
- **Authorized official:** DR. JOSHUA B WOLGIN DMD (CO PRESIDENT)
- **Authorized official phone:** (215) 735-1131

## Contact information

- **Practice address:** 255 S 17TH STREET, SUITE 1806, PHILADELPHIA, PA 19103
- **Practice address phone:** (215) 735-1131
- **Practice address fax:** (215) 735-9892
- **Mailing address:** 255 S 17TH STREET, SUITE 1806, PHILADELPHIA, PA 19103
- **Mailing address phone:** (215) 735-1131
- **Mailing address fax:** (215) 735-9892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS028500L | PA | — |
| 122300000X | Dentist | DS030806L | PA | — |
| 122300000X | Dentist | DS15962L | PA | Yes |

## Other

- **Enumeration date:** 08/08/2006
- **Last updated:** 08/22/2020