Pennsylvania Dental Group Ltd in Phila - Dentist
Pennsylvania Dental Group Ltd - NPI 1952447534
Pennsylvania Dental Group Ltd is a Dentist in Phila, Pennsylvania. Pennsylvania Dental Group Ltd practices all healthcare services and medical treatments related to Dentist. The NPI Number for Pennsylvania Dental Group Ltd is 1952447534. The last update date is 2020-08-22.
Pennsylvania Dental Group Ltd's current location address is 1740 South St, Phila, Pennsylvania. You can contact this provider via phone number 2155456334 and fax number 2158934675. The mailing address for Pennsylvania Dental Group Ltd is 1740 South St, Phila, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Pennsylvania Dental Group Ltd |
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Address | 1740 South St, Phila, Pennsylvania |
Phone Number | 2155456334 |
Fax Number | 2158934675 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DMD PRESID |
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Authorized Official Name | Boudreau E George |
Credentials | DMD |
Telephone Number | 2153870883 |
NPI Number Detail
NPI Number | 1952447534 |
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Provider Enumeration Date | 2007-01-30 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 1740 South St |
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City | Phila |
State | Pennsylvania (PA) |
Post Code | 191460 |
Phone Number | 2155456334 |
Fax Number | 2158934675 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | DS18680L |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identification code assigned to Pennsylvania Dental Group Ltd by the Centers for Medicare & Medicaid Services?
The Pennsylvania Dental Group Ltd has been issued the NPI (National Provider Identifier) 1952447534. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Pennsylvania Dental Group Ltd is physically located?
The Pennsylvania Dental Group Ltd is situated at the following address: 1740 South St, Phila, PA 191460.
What is Pennsylvania Dental Group Ltd's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Pennsylvania Dental Group Ltd is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date was the 1952447534 assigned to Pennsylvania Dental Group Ltd?
The Pennsylvania Dental Group Ltd was issued its 1952447534 on 2007-01-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Pennsylvania Dental Group Ltd, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Pennsylvania Dental Group Ltd, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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