# MODERN FAMILY DENTAL

> 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:** 1922404185
- **Authorized official:** DR. NIGAR AFTAB DDS (OWNER)
- **Authorized official phone:** (484) 686-3723

## Contact information

- **Practice address:** 1131 S 19TH ST, PHILADELPHIA, PA 19146-2936
- **Practice address phone:** (215) 546-0388
- **Mailing address:** 1131 S 19TH ST, PHILADELPHIA, PA 19146-2936
- **Mailing address phone:** (215) 546-0388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS020595L | PA | Yes |

## Other

- **Enumeration date:** 11/14/2014
- **Last updated:** 11/14/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0005290510001 | — | PA |
| 05 | — | 102595694001 | — | PA |