Northeastern Dentistry @ Overbrook
Dental Clinic
6554 Lebanon Ave, Philadelphia
Pennsylvania, 19151-3328
215-878-0058 877-707-5571
Maps & DirectionsNortheastern Dentistry @ Overbrook is a Dental Clinic in Philadelphia, Pennsylvania. It is located at 6554 Lebanon Ave, Philadelphia, PA and its contact number is 215-878-0058. The authorized person for Northeastern Dentistry @ Overbrook is Dr. Kavitha Chadhalavada
who is Owner Dentist of the clinic and their contact number is 856-325-0560.
Northeastern Dentistry @ Overbrook Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Northeastern Dentistry @ Overbrook Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Northeastern Dentistry @ Overbrook |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 6554 Lebanon Ave, Philadelphia,
Pennsylvania, 19151-3328 |
| Phone: | 215-878-0058 |
| Fax: | 877-707-5571 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Kavitha Chadhalavada |
| Position: | Owner Dentist |
| Contact Number: | 856-325-0560 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Northeastern Dentistry @ Overbrook clinic are as mentioned below.
| NPI Number: | 1699073239 |
| NPI Enumeration Date: | 07 Mar, 2011 |
| NPI Last Update On: | 30 Sep, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Northeastern Dentistry @ Overbrook are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1020256650007 | Medicaid | Pennsylvania | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Northeastern Dentistry @ Overbrook
6554 Lebanon Ave,
Philadelphia, Pennsylvania |
| Zip: | 19151-3328 |
| Phone Number: | 215-878-0058 |
| Fax Number: | 877-707-5571 |
Patients can reach Northeastern Dentistry @ Overbrook at
6554 Lebanon Ave, Philadelphia, Pennsylvania or can
call to book an appointment on 215-878-0058.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.