Healthcare Provider Details

I. General information

NPI: 1376821306
Provider Name (Legal Business Name): STEVEN L GELBART D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2011
Last Update Date: 12/20/2024
Certification Date: 12/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 S 7TH STREET
PHILADELPHIA PA
19106
US

IV. Provider business mailing address

29 S 7TH ST
PHILADELPHIA PA
19106-3513
US

V. Phone/Fax

Practice location:
  • Phone: 215-278-6225
  • Fax: 215-999-9624
Mailing address:
  • Phone: 203-249-4539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS038851
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License NumberDS038851
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: