Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720392491 Individual Practitioner Female Practitioner

Dr. Bansi Mithani Doescher , DMD

Dentist - General Practice • Philadelphia, PA

Professional Overview & Biography Verified Profile Summary

Dr. Bansi Doescher, DMD is a registered healthcare professional specializing in Dentist - General Practice in Philadelphia, PA. Practice services are available at 1500 JOHN F KENNEDY BLVD STE 1906 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1500 John F Kennedy Blvd Ste 1906

Philadelphia, PA 19102

Telephone 2157090001
Fax 2157096002
Associated Practice Facility / Clinic
🏢 Freedom Dental Care Pa Pllc Facility NPI 1588546501

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

CMS Verified: 2021-02-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License PA DS038501

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 NJ 22DI02420800

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1027475260003 (PA)

Practice Associates & Co-Workers

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

14 Associated Practitioners
NPI 1013656248

Doctor of Dental Medicine

Ruhi Patel

Dentist - General Practice

NPI 1033808282
Megan Bralski

Dentist - General Practice

NPI 1083460950
NPI 1134879331
Krishna Vekariya

Dentist - General Practice

NPI 1225975618
NPI 1285335240

Career & Practice History Timeline

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

16 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2021

Dentist (License #22DI02420800 in NJ)

📍
Updated Practice Location June 16, 2018

Registered at 1500 JOHN F KENNEDY BLVD STE 1906, PHILADELPHIA, PA 19102 (Tel: 2157090001)

📍
Updated Business Mailing Address June 16, 2018

Registered at 1500 JOHN F KENNEDY BLVD STE 1906, PHILADELPHIA, PA 191021714 (Tel: 2157090001)

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

Dentist (License #DS038501 in PA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Dentist (License #22DI02420800 in NJ)

NPI Profile Active January 10, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 10, 2018

Registered at 2200 MONTROSE ST, PHILADELPHIA, PA 191462530 (Tel: 2155454395)

📍
Updated Business Mailing Address January 10, 2018

Registered at 19 SIMSBURY DR, VOORHEES, NJ 080433948 (Tel: 7327893811)

👤
Provider Name / Credentials Updated January 10, 2018

Recorded as BANSI DOESCHER, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2018

Dentist (License #22DI02420800 in NJ)

NPI Profile Active June 22, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 22, 2011

Registered at 2675 E CUMBERLAND ST, PHILADELPHIA, PA 191253727 (Tel: 2154267307)

📍
Updated Business Mailing Address June 22, 2011

Registered at 5 FOXBORO CT, VOORHEES, NJ 080433919 (Tel: 7327893811)

👤
Provider Name / Credentials Updated June 22, 2011

Recorded as BANSI MITHANI, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2011

Dentist (License #DS038501 in PA)

🟢
Initial NPI Registration & Enumeration August 04, 2010

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: 1720392491
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2010
Last Update: February 21, 2021
Sole Proprietor: No

Mailing Address

1500 John F Kennedy Blvd Ste 1906

Philadelphia, PA 191021714

Phone: 2157090001

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.