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Active NPI 1740352194 Individual Practitioner Male Practitioner

Dr. Michael Earl Docktor , DDS

Dentist - General Practice • Philadelphia, PA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Docktor, DDS is a registered healthcare professional specializing in Dentist - General Practice in Philadelphia, PA. Practice services are available at 1522 LOCUST STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1522 Locust Street
3rd Floor

Philadelphia, PA 19102

Telephone 2155453744
Fax 2155453276

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 DS017410L

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

Commercial Insurance / Payer ID Delta Dental Ins Co
17410
Commercial Insurance / Payer ID United Concordia Ins Co
177109

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1522 LOCUST STREET, 3RD FLOOR, PHILADELPHIA, PA 19102 (Tel: 2155453744)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1522 LOCUST STREET, 3RD FLOOR, PHILADELPHIA, PA 19102 (Tel: 2155453744)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL DOCKTOR, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DS017410L in PA)

🟢
Initial NPI Registration & Enumeration November 14, 2006

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: 1740352194
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2006
Last Update: July 08, 2007
Sole Proprietor: No
Update or Correct Profile

Mailing Address

1522 Locust Street, 3rd Floor

Philadelphia, PA 19102

Phone: 2155453744

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.