Organization
SOUTH PHILADELPHIA ORTHODONTIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN MICHAEL COHEN DMD,MSD (OWNER/PARTNER)
(215) 271-8870
Entity
Organization
Contact information
Practice address
2517 S BROAD ST, PHILADELPHIA, PA 19148-4369
(215) 271-8870
Mailing address
2517 S BROAD ST, PHILADELPHIA, PA 19148-4369
(215) 271-8870
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427503051
NPPES
PA
01
—
1548280654
NPPES
PA
Enumeration date
12/10/2024
Last updated
12/10/2024
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