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

Paoli Family Dentistry LLC

Organization General Practice Dentistry · NPI 1457621559

Paoli Family Dentistry LLC provides General Practice Dentistry in Paoli, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2012.

Licensed in
PA
In the registry since
2012
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

1410 Russell Rd Ste 203
Paoli, PA 19301 Not confirmed with CMS for 14 years — call before visiting
Phone: (610) 647-0353
Fax: (610) 647-3946
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 DS-030859-L (PA)
General Practice Dentistry Taxonomy 1223G0001X · Licence DS020247L (PA)
General Practice Dentistry Taxonomy 1223G0001X · Licence DS037487 (PA)

Record details

NPI number1457621559
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Agubegi — Dentist/Owner · (610) 647-0353
NPI enumeratedJanuary 5, 2012
Last updated in NPPESJanuary 5, 2012
Mailing address1410 Russell Road, Suite 203, Paoli, PA 19301

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