# CHILDREN'S SURGERY CENTER OF PHILADELPHIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Children's Dental Surgery of Philadelphia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972147239
- **Authorized official:** SHARON EDMONDSON (DIRECTOR)
- **Authorized official phone:** (629) 666-8612

## Contact information

- **Practice address:** 2301 E ALLEGHENY AVE STE 301M, PHILADELPHIA, PA 19134-4427
- **Practice address phone:** (717) 824-1618
- **Mailing address:** 1801 W END AVE STE 530, NASHVILLE, TN 37203-2515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/30/2019
- **Last updated:** 10/12/2026