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

Pennsylvania Dental Group Ltd

Organization Dentist · NPI 1952447534

Pennsylvania Dental Group Ltd is a Dentist in Phila, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
Specialties on file
3
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

1740 S St Ste 504
Phila, PA 19146
Phone: (215) 545-6334
Fax: (215) 893-4675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS035436 (PA)
Dentist Taxonomy 122300000X · Licence DS18680L (PA)
Dentist Taxonomy 122300000X · Licence DS19260L (PA)

Record details

NPI number1952447534
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Boudreau — Dmd President · (215) 387-0883
NPI enumeratedJanuary 30, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1740 South St, Suite 504, Phila, PA 19146

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