MEDICARE: UNIVERSITY CITY DENTAL CENTER

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
1	261QD0000X	Dental Clinic/Center	DS036647	PA

General Provider Information

NPI Number	:	1184898587
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY CITY DENTAL CENTER

Provider Business Mailing Address
First Line	:	5338 BALTIMORE AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19143-3117
Country	:	US
Telephone Number	:	215-476-2122
Fax Number	:	215-476-6863

Provider Business Practice Location Address
First Line	:	5338 BALTIMORE AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19143-3117
Country	:	US
Telephone Number	:	215-476-2122
Fax Number	:	215-476-6863

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SULEIMAN M DZILALA
Credential	:	DMD
Telephone Number	:	215-476-2122

Provider Enumeration Date	:	04/16/2008
Last Update Date	:	04/16/2008

Similar Medicare Providers

1962527267 — DR. SULEIMAN M DZILALA II DMD
Practice Location Address:

5338 BALTIMORE AVE
PHILADELPHIA, PA
19143-3117

Practice Phone: 215-476-2122
Practice Fax: 215-476-6863

1811202153 — DELAWARE VALLEY COMMUNITY HEALTH, INC.
Practice Location Address:

5901 MARKET ST
PHILADELPHIA, PA
19139-3117

Practice Phone: 215-222-2466
Practice Fax: 215-222-2462

1144262288 — DR. CHERYL A JACKSON M.D.
Practice Location Address:

5901 MARKET ST
PHILADELPHIA, PA
19139-3117

Practice Phone: 215-528-5600
Practice Fax:

1740573401 — RACHEL RAVITCH
Practice Location Address:

425 MONROE ST , APT 3
PHILADELPHIA, PA
19147-3117

Practice Phone: 215-570-1545
Practice Fax:

1093089567 — MS. SHARON YVONNE CAVE-ADENS CRNP
Practice Location Address:

5901 MARKET ST
PHILADELPHIA, PA
19139-3117

Practice Phone: 215-528-5600
Practice Fax:

1760731442 — STEPHANIE JEAN WATSON-DRAYTON LCSW
Practice Location Address:

1180 E DORSET ST
PHILADELPHIA, PA
19150-3117

Practice Phone: 215-868-4321
Practice Fax:

Directions to “UNIVERSITY CITY DENTAL CENTER ” 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.