PRO-DENT
NPI 1871651992
Dentist - General Practice in Boothwyn, PA

Q: What is Modern Dental Professionals Philadelpha PC's specialty?

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

Active since December 04, 2006

1440 CONCHESTER HWY, BOOTHWYN, PA 19061(610) 459-0845 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pro-dent NPPES

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

PRO-DENT (NPI 1871651992) is a healthcare organization registered as a general practice in Boothwyn, Pennsylvania and active in the NPI registry since December 2006. The organization lists Lawrence Paul, Owner, as its authorized official.

NPPES Registry Identity

NPI1871651992

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMODERN DENTAL PROFESSIONALS PHILADELPHA PC

Location Address1440 CONCHESTER HWYBoothwyn, PA 19061-2124

Mailing Address1440 Conchester HwyBoothwyn, PA 19061-2124 · (610) 459-0845

Phone(610) 459-0845

Organization SubpartNo

Authorized OfficialLawrence PaulOwner · (610) 459-0845

Enumeration DateDecember 4, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1871651992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in PA · 22D102138300

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.

1440 CONCHESTER HWY, Boothwyn, PA 19061

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Other Names 1

Doing Business AsPro-dent

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 4

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

TIMOTHY A MARTIN D.C.

Chiropractor

1440 CONCHESTER HWY, SUITE 15C
BOOTHWYN, PA 19061

Delaware County (610) 361-0070

DR. DANIEL ALAN SMOLEN D.O.

Family Medicine

1440 CONCHESTER HWY, SUITE 4
BOOTHWYN, PA 19061

Delaware County (610) 358-3920

DR. MANUEL T. LIM MD

Family Medicine (Adult Medicine)

1440 CONCHESTER HWY, SUITE 5A
BOOTHWYN, PA 19061

Delaware County (610) 459-3722

BOOTHWYN MEDICAL ASSOCIATES P.C.

Internal Medicine

1440 CONCHESTER HWY, SUITE 5A
BOOTHWYN, PA 19061

Delaware County (610) 459-3722

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 Modern Dental Professionals Philadelpha PC's NPI number?

The NPI number for Modern Dental Professionals Philadelpha PC is 1871651992. It was assigned to this organization in the NPPES registry on December 4, 2006. The provider is doing business as Pro-Dent.

Where is Modern Dental Professionals Philadelpha PC located?

Modern Dental Professionals Philadelpha PC is located at 1440 Conchester Hwy, Boothwyn, PA 19061. The listed phone number is (610) 459-0845.

What is Modern Dental Professionals Philadelpha PC'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 Modern Dental Professionals Philadelpha PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.