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

Modern Dental Professionals Philadelpha PC

Organization General Practice Dentistry · NPI 1871651992

Modern Dental Professionals Philadelpha PC provides General Practice Dentistry in Boothwyn, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
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

1440 Conchester Hwy
Boothwyn, PA 19061-2124
Phone: (610) 459-0845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 22D102138300 (PA)

Record details

NPI number1871651992
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Paul — Owner · (610) 459-0845
Other names Pro-Dent
NPI enumeratedDecember 4, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1440 Conchester Hwy, Boothwyn, PA 19061-2124

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