Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Fleetwood Dental Professional Corporation

Organization General Practice Dentistry · NPI 1104091388

Fleetwood Dental Professional Corporation provides General Practice Dentistry in Fleetwood, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2008.

Licensed in
PA
In the registry since
2008

Practice location Address checks out

805 N Richmond St Ste 102
Fleetwood, PA 19522
Phone: (610) 944-9771
Fax: (610) 944-0702
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 DS036286 (PA)

Record details

NPI number1104091388
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Lee — Owner · (610) 944-9771
NPI enumeratedApril 28, 2008
Last updated in NPPESDecember 2, 2019
Mailing address805 N Richmond Street, Suite 102, Fleetwood, PA 19522

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