Organization
NEWAGEDENTAL II PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRILL VASILYEV (DDS)
(917) 650-6200
Entity
Organization
Contact information
Practice address
9733 BUSTLETON AVE, PHILADELPHIA, PA 19115-3231
(215) 774-5050
(215) 437-7874
Mailing address
9733 BUSTLETON AVE, PHILADELPHIA, PA 19115-3231
(215) 774-5050
(215) 437-7874
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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