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

Conshohocken Dental Group, LLC

Organization Dentist · NPI 1619260155

Conshohocken Dental Group, LLC provides Dentist services in Conshohocken, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2011.

Licensed in
PA
In the registry since
2011
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 W Ridge Pike Ste #129
Conshohocken, PA 19428-3702 Not confirmed with CMS for 15 years — call before visiting
Phone: (610) 828-3535
Fax: (610) 828-3558
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 DS036612 (PA)
Dentist Taxonomy 122300000X · Licence DS038105 (PA)
Periodontics Taxonomy 1223P0300X · Licence DS035484 (PA)

Record details

NPI number1619260155
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wansuk Seo — President · (610) 828-3535
NPI enumeratedMay 17, 2011
Last updated in NPPESMay 17, 2011
Mailing address200 W Ridge Pike, Suite #129, Conshohocken, PA 19428-3702

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