PENNSYLVANIA DENTAL PARTNERS LLC NPI 1891032629

NPI Information

PENNSYLVANIA DENTAL PARTNERS, LLC is a general practice dentist in Leola, 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 PARTNERS, LLC NPI is 1891032629. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

355 W MAIN ST
LEOLA, PA
ZIP 17540-107
Phone: (717) 656-3051
Fax: (717) 656-6205

The provider's authorized official is Thomas P. Dudas .
The authorized official title is Owner and has the following contact phone number (717) 519-0100.

The CLIA number assigned to this NPI record is 39D1074950 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/14/2013 and was last updated on 1/14/2013.

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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