WILLIAMSBURG DENTAL OF PENNSYLVANIA, P.C.
NPI 1558171876
Dentist - General Practice in Broomall, PA

Active since January 09, 2025
601 WILLIAMSBURG DR, BROOMALL, PA 19008(610) 353-2700(610) 353-5530 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Williamsburg Dental Of Pennsylvania, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAMSBURG DENTAL OF PENNSYLVANIA, P.C. (NPI 1558171876), doing business as Williamsburg Dental, is a healthcare organization registered as a general practice in Broomall, Pennsylvania and active in the NPI registry since January 2025. The organization lists Ty Justice, Director, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1558171876
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWILLIAMSBURG DENTAL OF PENNSYLVANIA, P.C.
Location Address601 WILLIAMSBURG DRBroomall, PA 19008-3428
Mailing Address9825 Kenwood Rd Ste 200Blue Ash, OH 45242-6252 · (513) 808-4984 · Fax (513) 448-0511
Fax(610) 353-5530
Organization SubpartNo
Authorized OfficialTy JusticeDirector, Credentialing · (513) 808-4984
Enumeration DateJanuary 9, 2025
NPPES CertifiedJanuary 9, 2025
✔ NPI 1558171876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X
601 WILLIAMSBURG DR, Broomall, PA 19008

Other Names 1

Doing Business AsWilliamsburg Dental

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
601 WILLIAMSBURG DR
BROOMALL, PA 19008
Dentist (General Practice)
601 WILLIAMSBURG DR
BROOMALL, PA 19008
Dentist
601 WILLIAMSBURG DR
BROOMALL, PA 19008
Dentist (General Practice)
601 WILLIAMSBURG DR
BROOMALL, PA 19008
Dentist
601 WILLIAMSBURG DR
BROOMALL, PA 19008
Dentist (General Practice)
601 WILLIAMSBURG DR
BROOMALL, PA 19008
Dentist
601 WILLIAMSBURG DR
BROOMALL, PA 19008
Dentist
601 WILLIAMSBURG DR
BROOMALL, PA 19008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Williamsburg Dental Of Pennsylvania, P.C.'s NPI number?

The NPI number for Williamsburg Dental Of Pennsylvania, P.C. is 1558171876. It was assigned to this organization in the NPPES registry on January 9, 2025. The provider is doing business as Williamsburg Dental.

Where is Williamsburg Dental Of Pennsylvania, P.C. located?

Williamsburg Dental Of Pennsylvania, P.C. is located at 601 Williamsburg Dr, Broomall, PA 19008. The listed phone number is (610) 353-2700.

What is Williamsburg Dental Of Pennsylvania, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Williamsburg Dental Of Pennsylvania, P.C. was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.