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

Williamsburg Dental of Pennsylvania, PC

Organization Dentist · NPI 1558171876

Williamsburg Dental of Pennsylvania, PC is a Dentist in Broomall, Pennsylvania. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

601 Williamsburg Dr
Broomall, PA 19008-3428
Phone: (610) 353-2700
Fax: (610) 353-5530
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Dentist Taxonomy 122300000X

Record details

NPI number1558171876
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ty Justice — Director, Credentialing · (513) 808-4984
Other names Williamsburg Dental
NPI enumeratedJanuary 9, 2025
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025
Mailing address9825 Kenwood Rd Ste 200, Blue Ash, OH 45242-6252

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