CONSHOHOCKEN DENTAL GROUP, LLC - NPI 1619260155

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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About Conshohocken Dental Group, Llc NPPES

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

CONSHOHOCKEN DENTAL GROUP, LLC (NPI 1619260155) is a healthcare organization registered as a general practice in Conshohocken, Pennsylvania and active in the NPI registry since May 2011. The organization lists Wansuk Seth Seo, President, as its authorized official.

NPPES Registry Identity

NPI1619260155

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameCONSHOHOCKEN DENTAL GROUP, LLC

Location Address200 W RIDGE PIKE, SUITE #129Conshohocken, PA 19428-3702

Mailing Address200 W Ridge Pike, Suite #129Conshohocken, PA 19428-3702 · (610) 828-3535 · Fax (610) 828-3558

Phone(610) 828-3535

Fax(610) 828-3558

Organization SubpartNo

Authorized OfficialWansuk Seth SeoPresident · (610) 828-3535

Enumeration DateMay 17, 2011

✔ NPI 1619260155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in PA · DS036612

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 · License DS038105 (PA)

Also ListedDentist · PeriodonticsTaxonomy 1223P0300X · License DS035484 (PA)

200 W RIDGE PIKE, Conshohocken, PA 19428

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Other Identifiers 1

Medicaid102564482PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 15

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

MS. JILL MARIE GONZALO BSPH

Pharmacist

200 W RIDGE PIKE, 200 RIDGE PIKE
CONSHOHOCKEN, PA 19428

Montgomery County (610) 276-1000

DR. LINH M DANG

Pharmacist

200 W RIDGE PIKE, GENUARDI'S
CONSHOHOCKEN, PA 19428

Montgomery County (610) 276-1010

MICHAEL JOSEPH ZRADA RPH

Pharmacist