PENNSYLVANIA DENTAL GROUP LTD. NPI 1114054962

NPI Information

PENNSYLVANIA DENTAL GROUP LTD. is a general practice dentist in Philadelphia, PA. The provider is 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. PENNSYLVANIA DENTAL GROUP LTD. NPI is 1114054962. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3550 MARKET ST
PHILADELPHIA, PA
ZIP 19104-329
Phone: (215) 387-0883
Fax: (215) 387-9659

The provider's authorized official is George E. Boudreau .
The authorized official title is President and has the following contact phone number (215) 387-0883.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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