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

Pennsylvania Dental Group Ltd

Organization Dentist · NPI 1952447534

Pennsylvania Dental Group Ltd provides Dentist services in Phila, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
Specialties on file
3
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

1740 S St Ste 504
Phila, PA 19146
Phone: (215) 545-6334
Fax: (215) 893-4675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS035436 (PA)
Dentist Taxonomy 122300000X · Licence DS18680L (PA)
Dentist Taxonomy 122300000X · Licence DS19260L (PA)

Record details

NPI number1952447534
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Boudreau — Dmd President · (215) 387-0883
NPI enumeratedJanuary 30, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1740 South St, Suite 504, Phila, PA 19146

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