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

Pediatric Dental Associates Ltd

Organization Pediatric Dentistry · NPI 1023276656

Pediatric Dental Associates Ltd provides Pediatric Dentistry in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2008.

Licensed in
PA
In the registry since
2008
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6404 Roosevelt Blvd Lowr Level
Philadelphia, PA 19149-2943 Not confirmed with CMS for 14 years — call before visiting
Phone: (215) 743-3700
Fax: (215) 743-3715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DS025205L (PA)

Record details

NPI number1023276656
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joanne Coll — Insurance Manager · (215) 743-3700
NPI enumeratedMay 30, 2008
Last updated in NPPESMarch 15, 2012
Mailing address6404 Roosevelt Blvd, Lower Level, Philadelphia, PA 19149-2943

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