Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114417060 Individual Practitioner Male Practitioner

Dr. Christopher Maroon , DDS

Dentist - General Practice • Philadelphia, PA

Professional Overview & Biography Verified Profile Summary

Dr. Christopher Maroon, DDS is a registered healthcare professional specializing in Dentist - General Practice in Philadelphia, PA. Practice services are available at 1575 N 52ND ST STE 705 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1575 N 52nd St Ste 705

Philadelphia, PA 19131

Telephone 2158791777
Associated Practice Facility / Clinic
🏢 Elite Dental, Llc Facility NPI 1255619920

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Philadelphia, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
577 Specialists

Practicing in Philadelphia, PA (4936 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License PA DS041885

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License VA 0401416605

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

2107b Cottman Ave

Philadelphia, PA 191491122

Phone: 2152354060

5675 N Front St

Philadelphia, PA 191202719

Phone: 2152240440

400 W Allegheny Ave Ste 100

Philadelphia, PA 191333614

Phone: 2152919200

61 W Chelten Ave

Philadelphia, PA 191442701

Phone: 2157132626

1575 N 52nd St Ste 705

Philadelphia, PA 19131

Phone: 2158791777

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Dr. Shanmukha Reddy Kallam , DDS

Dentist - General Practice

NPI 1184257610

Doctor of Dental Surgery

Dr. Joseph Preziosi , DMD

Dentist - General Practice

NPI 1235294646

Doctor of Dental Medicine

Dr. Sim Ching , DMD

Dentist - General Practice

NPI 1386164846

Doctor of Dental Medicine

NPI 1447108345
NPI 1588143135

Doctor of Dental Medicine

Kristina Mathai

Dentist - General Practice

NPI 1598564114

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2019

Dentist (License #0401416605 in VA)

📍
Updated Practice Location July 31, 2018

Registered at 1575 N 52ND ST STE 705, PHILADELPHIA, PA 19131 (Tel: 2158791777)

📍
Updated Business Mailing Address July 31, 2018

Registered at 350 N CLARK ST STE 600, CHICAGO, IL 606544782 (Tel: 3122744526)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2018

Dentist (License #DS041885 in PA)

NPI Profile Active May 16, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 16, 2018

Registered at 2459 ARAMINGO AVE, PHILADELPHIA, PA 191253731 (Tel: 2154272800)

📍
Updated Business Mailing Address May 16, 2018

Registered at 350 N CLARK ST FL 6, CHICAGO, IL 606544712

👤
Provider Name / Credentials Updated May 16, 2018

Recorded as CHRISTOPHER MAROON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 16, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114417060
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2018
Last Update: July 02, 2019
Sole Proprietor: No

Mailing Address

350 N Clark St Ste 600

Chicago, IL 606544782

Phone: 3122744526

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.