DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. LIARA DESTINY VINSON DDS

MEDICARE: DR. LIARA DESTINY VINSON DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0221XPediatric DentistryDS043071PA

General Provider Information

NPI Number : 1689299067
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LIARA DESTINY VINSON DDS
Provider Business Mailing Address
First Line : 160 E ERIE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19134-1011
Country : US
Telephone Number : 215-427-5000
Fax Number :
Provider Business Practice Location Address
First Line : 160 E ERIE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19134-1011
Country : US
Telephone Number : 215-427-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2020
Last Update Date : 05/29/2026

Similar Medicare Providers

1730876400 — SAHANA LAKSHMI SASTRY DO
Practice Location Address:
160 E ERIE AVE
PHILADELPHIA, PA
19134-1011
Practice Phone: 215-427-3768
Practice Fax:
1104753466 — HANNAH ALEXANDER
Practice Location Address:
160 E ERIE AVE
PHILADELPHIA, PA
19134-1011
Practice Phone: 215-427-5000
Practice Fax:
1891623716 — DR. JULIA MARY SNYDER DO
Practice Location Address:
160 E ERIE AVE
PHILADELPHIA, PA
19134-1011
Practice Phone: 215-427-8846
Practice Fax:
1427987023 — IRENE AMMIE COOPER DO
Practice Location Address:
160 E ERIE AVE
PHILADELPHIA, PA
19134-1011
Practice Phone: 215-427-5366
Practice Fax:
1447993589 — YOUSEF ALSAFARJALANI DMD
Practice Location Address:
160 E ERIE AVE
PHILADELPHIA, PA
19134-1011
Practice Phone: 215-427-8783
Practice Fax:
1609636091 — KIMBERLY WOOD DLUGOS DO
Practice Location Address:
160 E ERIE AVE
PHILADELPHIA, PA
19134-1011
Practice Phone: 215-427-5000
Practice Fax:

Directions to “ DR. LIARA DESTINY VINSON DDS” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.