MEDICARE: IF SERVICES

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	1223G0001X	General Practice Dentistry	DS029548L	PA

General Provider Information

NPI Number	:	1265608020
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IF SERVICES

Provider Business Mailing Address
First Line	:	11911 BUSTLETON AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19116-2541
Country	:	US
Telephone Number	:	215-673-9050
Fax Number	:	215-673-9052

Provider Business Practice Location Address
First Line	:	11911 BUSTLETON AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19116-2541
Country	:	US
Telephone Number	:	215-673-9050
Fax Number	:	215-673-9052

Authorized Official
Title or Position	:	OWNER
Name	:	IRINA STEPANSKY
Credential	:	DMD
Telephone Number	:	215-673-9050

Provider Enumeration Date	:	05/01/2008
Last Update Date	:	05/01/2008

Similar Medicare Providers

1467523191 — DR. IRINA STEPANSKY DMD
Practice Location Address:

11911 BUSTLETON AVE
PHILADELPHIA, PA
19116-2541

Practice Phone: 215-673-9050
Practice Fax:

1447391396 — AMERICAN FAMILY DENTAL CARE P.C.
Practice Location Address:

11911 BUSTLETON AVE
PHILADELPHIA, PA
19116-2541

Practice Phone: 215-673-9050
Practice Fax: 215-673-9052

1831218825 — DR. LEONARD FREDRIC TAU DMD
Practice Location Address:

11905 BUSTLETON AVE
PHILADELPHIA, PA
19116-2541

Practice Phone: 215-969-4400
Practice Fax: 215-969-4405

1386270841 — MODERN DENTISTRY AND COSMETOLOGY CENTER
Practice Location Address:

11911 BUSTLETON AVE
PHILADELPHIA, PA
19116-2541

Practice Phone: 215-673-9050
Practice Fax:

1396585212 — PHILADELPHIA SMILE CETER LLC
Practice Location Address:

11911 BUSTLETON AVE
PHILADELPHIA, PA
19116-2541

Practice Phone: 215-673-9050
Practice Fax:

1285738070 — PENNSYLVANIA CVS PHARMACY, L.L.C.
Practice Location Address:

7065 LINCOLN DR
PHILADELPHIA, PA
19119-2541

Practice Phone: 215-242-1929
Practice Fax:

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