Organization
CD PENNSYLVANIA DENTAL, P.C.
Active
Other names
Drs. Melman, Ravett & Associates, Greene Street Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TY JUSTICE (DIRECTOR, CREDENTIALING & PAYER REL)
(512) 808-4984
Entity
Organization
Contact information
Practice address
6012 GREENE ST, PHILADELPHIA, PA 19144-2726
(215) 843-9400
(215) 843-3237
Mailing address
9825 KENWOOD RD STE 200, BLUE ASH, OH 45242-6252
(513) 609-4076
(513) 448-0511
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
05/31/2018
Last updated
06/30/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us