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

Pennsylvania Dental Group Ltd

Organization General Practice Dentistry · NPI 1114054962

Pennsylvania Dental Group Ltd is a General Practice Dentistry in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3550 Market St
Philadelphia, PA 19104-3329
Phone: (215) 387-0883
Fax: (215) 387-9659
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 DS18682L (PA)

Record details

NPI number1114054962
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Boudreau — President · (215) 387-0883
NPI enumeratedFebruary 28, 2007
Last updated in NPPESAugust 22, 2020
Mailing address3550 Market St, Philadelphia, PA 19104-3329

Other providers in Philadelphia