MEDICARE: CASTOR DENTAL CARE LLC

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	DS037847	PA

General Provider Information

NPI Number	:	1710272349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CASTOR DENTAL CARE LLC

Provider Business Mailing Address
First Line	:	7258 CASTOR AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19149-1109
Country	:	US
Telephone Number	:	215-728-1144
Fax Number	:	215-728-1363

Provider Business Practice Location Address
First Line	:	7258 CASTOR AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19149-1109
Country	:	US
Telephone Number	:	215-728-1144
Fax Number	:	215-728-1363

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	RAKESH PATEL
Credential	:
Telephone Number	:	215-728-1144

Provider Enumeration Date	:	06/11/2011
Last Update Date	:	06/11/2011

Similar Medicare Providers

1649100777 — DIRECT DRAW SERVICES LLC
Practice Location Address:

7244 CASTOR AVE # 1334
PHILADELPHIA, PA
19149-1109

Practice Phone: 267-314-7491
Practice Fax:

1356233647 — TIFFANY ATTAWAY
Practice Location Address:

7244 CASTOR AVE # 1334
PHILADELPHIA, PA
19149-1109

Practice Phone: 215-908-8669
Practice Fax:

1639345358 — DR. JOSEPH WILLIAM MIKOLAJEWSKI DMD
Practice Location Address:

7258 CASTOR AVE
PHILADELPHIA, PA
19149-1109

Practice Phone: 215-728-1144
Practice Fax:

1508236076 — ISHUAL DAVIS LPC
Practice Location Address:

7244 CASTOR AVE # 1114
PHILADELPHIA, PA
19149-1109

Practice Phone: 215-402-7103
Practice Fax:

1881396588 — SHARELL SWEETWINE CNA
Practice Location Address:

7244 CASTOR AVE
PHILADELPHIA, PA
19149-1109

Practice Phone: 484-704-0884
Practice Fax:

1861184780 — PHILLY ABA THERAPY LLC
Practice Location Address:

7244 CASTOR AVE # 8201
PHILADELPHIA, PA
19149-1109

Practice Phone: 215-960-0174
Practice Fax:

Directions to “CASTOR DENTAL CARE LLC ” 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.