Pennsylvania Dental Group Ltd

LBN: Pennsylvania Dental Group Ltd
Pennsylvania Dental Group Ltd is an health care organization with primary practice located at 1740 South St Suite 504, Phila PA 19146. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Pennsylvania Dental Group Ltd can be contacted via phone (215) 545-6334, or through Boudreau, George E via phone (215) 387-0883.

Contact Information

Primary practice address
1740 South St Suite 504 Phila PA 19146
Phone: (215) 545-6334
Fax: (215) 893-4675
Website:
Map and Directions
Authorized official contact:
Name: Boudreau, George E Doctor of Dental Medicine (DMD)
Phone: (215) 387-0883

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS18680L Pennsylvania
Dental Providers / Dentist 122300000X DS19260L Pennsylvania
Dental Providers / Dentist 122300000X DS035436 Pennsylvania

Profile Details

NPI number 1952447534
LBN Legal business name Pennsylvania Dental Group Ltd
DBA Doing business as
Authorized official Boudreau, George E Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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