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

Premier Dental of Edgmont Square LLC

Organization Dentist · NPI 1801327002

Premier Dental of Edgmont Square LLC provides Dentist services in Newtown Square, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2017.

Licensed in
PA
In the registry since
2017
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

4753 W Chester Pike
Newtown Square, PA 19073-2212
Phone: (484) 424-0078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X (PA)

Record details

NPI number1801327002
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mike Cole — Vp Insurance Plan Management · (941) 955-3150
NPI enumeratedMarch 21, 2017
Last updated in NPPESApril 24, 2017
Mailing address4753 W Chester Pike, Newtown Square, PA 19073-2212

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