Pennsylvania Dental Group Ltd is a Dental Clinic in Phila, Pennsylvania. It is located at 1740 South St, Suite 504, Phila, PA and its contact number is 215-545-6334. The authorized person for Pennsylvania Dental Group Ltd is George E Boudreau
who is Dmd President of the clinic and their contact number is 215-387-0883. The primary license number for Pennsylvania Dental Group Ltd is DS035436 (Dentist) in Pennsylvania.
Pennsylvania Dental Group Ltd Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Pennsylvania Dental Group Ltd Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Pennsylvania Dental Group Ltd |
| Specialization: | Dentistry |
| Clinic Address: | 1740 South St, Suite 504, Phila,
Pennsylvania, 19146 |
| Phone: | 215-545-6334 |
| Fax: | 215-893-4675 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | George E Boudreau |
| Position: | Dmd President |
| Contact Number: | 215-387-0883 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Pennsylvania Dental Group Ltd clinic are as mentioned below.
| NPI Number: | 1952447534 |
| NPI Enumeration Date: | 30 Jan, 2007 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pennsylvania Dental Group Ltd are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | DS035436 | Pennsylvania | Primary | |
| Dentist | DS18680L | Pennsylvania | Secondary | |
| Dentist | DS19260L | Pennsylvania | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Pennsylvania Dental Group Ltd
1740 South St, Suite 504
Phila, Pennsylvania |
| Zip: | 19146 |
| Phone Number: | 215-387-0883 |
| Fax Number: | 215-387-9659 |
Patients can reach Pennsylvania Dental Group Ltd at
1740 South St, Suite 504, Phila, Pennsylvania or can
call to book an appointment on 215-545-6334.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.