Williamsburg Dental of Pennsylvania, P.c.

NPI #1558171876 in Broomall, Pennsylvania

Provider Information

NPI Number: 1558171876
Entity Type: Organization
Organization Name: Williamsburg Dental of Pennsylvania, P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 9, 2025
Last Updated: Jan 9, 2025

Practice Location

Address: 601 WILLIAMSBURG DR
City: Broomall
State: Pennsylvania
ZIP Code: 19008-3428
Phone: (610) 353-2700

Authorized Official

Name: TY JUSTICE
Title: DIRECTOR, CREDENTIALING
Phone: (513) 808-4984

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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