Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Conshohocken Dental Group, LLC

Organization Dentist · NPI 1619260155

Conshohocken Dental Group, LLC is a Dentist in Conshohocken, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2011.

Licensed in
PA
In the registry since
2011
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 W Ridge Pike Ste #129
Conshohocken, PA 19428-3702
Phone: (610) 828-3535
Fax: (610) 828-3558
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS036612 (PA)
Dentist Taxonomy 122300000X · Licence DS038105 (PA)
Periodontics Taxonomy 1223P0300X · Licence DS035484 (PA)

Record details

NPI number1619260155
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wansuk Seo — President · (610) 828-3535
NPI enumeratedMay 17, 2011
Last updated in NPPESMay 17, 2011
Mailing address200 W Ridge Pike, Suite #129, Conshohocken, PA 19428-3702

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