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

Pediatric Dental Associates Ltd

Organization Pediatric Dentistry · NPI 1023276656

Pediatric Dental Associates Ltd is a Pediatric Dentistry in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2008.

Licensed in
PA
In the registry since
2008
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 Lowr Level
Philadelphia, PA 19149-2943
Phone: (215) 743-3700
Fax: (215) 743-3715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DS025205L (PA)

Record details

NPI number1023276656
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joanne Coll — Insurance Manager · (215) 743-3700
NPI enumeratedMay 30, 2008
Last updated in NPPESMarch 15, 2012
Mailing address6404 Roosevelt Blvd, Lower Level, Philadelphia, PA 19149-2943

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