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

Pediatric Dental Assoc , Ltd

Organization Pediatric Dentistry · NPI 1538231220

Pediatric Dental Assoc , Ltd is a Pediatric Dentistry in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6404 Roosevelt Blvd
Philadelphia, PA 19149-2943
Phone: (215) 743-3700
Fax: (215) 743-3706
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DS018048L (PA)

Record details

NPI number1538231220
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPediatric Dental Associates, Ltd
Authorized official Joanne Coll — Insurance Coordinator · (215) 743-3700
NPI enumeratedNovember 15, 2006
Last updated in NPPESMay 30, 2008
Mailing address6404 Roosevelt Blvd, Philadelphia, PA 19149-2943

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